Active NPI
Hye Young Shin
- Dentist
- New York, NY
National Provider Identifier
1184253239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062793
- Practice address
- 200 Central Park S Apt 214
New York, NY 10019-1450 - Phone
- (646) 868-2010
- Fax
- (646) 868-2011
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 062793 | NY | Primary |
Addresses
Primary practice location
200 Central Park S Apt 214
New York, NY 10019-1450
Mailing address
200 Central Park S Apt 214
New York, NY 10019-1450
Phone (646) 868-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858711 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charis Dental | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- New York, NY
- NPI 1992688857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1184253239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CENTRAL PARK S APT 214",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191450",
"telephone_number": "646-868-2010",
"fax_number": "646-868-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CENTRAL PARK S APT 214",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191450",
"telephone_number": "646-868-2010",
"fax_number": "646-868-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "HYE YOUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.