Mun Shin DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60460517 Issued in WA

Legal business name

MUN SHIN DMD PLLC

Practice address

927 128TH St SW
Everett, WA 98204-6315

Phone

(425) 290-6967

Fax

(425) 290-6739

NPI assigned

Feb 25, 2015

Organization subpart

No

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

Authorized official

Name

Mun Shin, DMD

Title

Owner

Phone

(425) 290-6967

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1194117275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 128TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046315",
            "telephone_number": "425-290-6967",
            "fax_number": "425-290-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 128TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046315",
            "telephone_number": "425-290-6967",
            "fax_number": "425-290-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUN SHIN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "MUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-290-6967",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60460517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Mullins, LICSW
• Melody Karen Mulneaux-Thomas, LMP
• Multicare Health System
• Mahesh Mulumudi
• Mun Shin DMD PLLC
• Alvina Munaf, M.D.
• Gayle Ilene Munari, LMHC
• Lily C Munavu, PHD
• Lisa Munive
• Holly Munn

• General Practice Dentistry in Everett, WA
• Providers in Everett, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.