Alexander Hoon-Shic Shin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

113947 Issued in CA

Practice address

34880 Yucaipa Blvd
Yucaipa, CA 92399-4235

Phone

(909) 797-1136

NPI assigned

Oct 28, 2026

Last updated

Oct 28, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alex Shin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chokka Dental Corporation

  dba Imperial Dental Practice

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Yucaipa, CA
  • NPI 1639270234
  NPD (past)

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1184522237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25612 COTTONWOOD ROAD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "650-799-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34880 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994235",
            "telephone_number": "909-797-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ALEXANDER",
        "middle_name": "HOON-SHIC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "113947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEX",
            "last_name": "SHIN",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric Senosiain
• Alina Seratt, PA-C
• Ghazaleh Shafee, MSP
• Belinda Anne Shalhoub, SRNA
• Taher A Shams
• Jamie Shuman
• Khwaja Ali Siddiqui, MD
• Korie Siets
• Robert Paul Simmons, L.AC.
• Singh MD a Professional Medical Corporation- Urgent Cares

• Dentist in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.