Shin & Kang, DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHIN & KANG, DDS, INC.

Practice address

570 E Virginia Way
Barstow, CA 92311-3910

Phone

(760) 255-1010

NPI assigned

Dec 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Myung Shik Shin, DDSNPI 1073349825

Title

President

Phone

(909) 328-9713

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Myung Shik Shin, DDS

  • Dentist
  • San Bernardino, CA
  • NPI 1073349825
  NPD Authorized official
• Dongwan Kang, DDS

  • General Practice Dentistry
  • Barstow, CA
  • NPI 1578498572
  NPD (past)
• Kyoung Hee Susan Lee, DDS

  • General Practice Dentistry
  • Barstow, CA
  • NPI 1073534806
  NPD (past)
• Sungho Lee, DDS

  • General Practice Dentistry
  • Barstow, CA
  • NPI 1982625711
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1184430985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26149 PARK AVE UNIT 1",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E VIRGINIA WAY",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113910",
            "telephone_number": "760-255-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN & KANG, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "MYUNG SHIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-328-9713",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaelle Scott, CAS REGISTERED
• Seed and Shelter
• Sara Jean Seitz, P.T.
• Jonisha Monique Sharp
• Amber Lynn Sherwood
• Jordan Sias
• Fernando Jusi Siazon
• Jessica Sierra Ramirez
• Donna T Sierra
• Gustavo Omar Sierra

• Dental Clinic/Center in Barstow, CA
• Providers in Barstow, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.