Rebecca Hea-Sun Shin, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

0401412691 Issued in VA

Practice address

2542 Jefferson Hwy Ste 104
Waynesboro, VA 22980-8502

Phone

(540) 943-8545

NPI assigned

Oct 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Hillsboro, OR
  • NPI 1063779932
  NPD (past)
• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Hillsboro, OR
  • NPI 1457229197
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1194914515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 JEFFERSON HWY STE 104",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229808502",
            "telephone_number": "540-943-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 JEFFERSON HWY STE 104",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229808502",
            "telephone_number": "540-943-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "REBECCA",
        "middle_name": "HEA-SUN",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "OR",
            "license": "D9031",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412691",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica J Sheaves, PT, DPT
• Shenandoah Art Therapy, LLC
• Shenandoah Creative Counseling for Children and Adolescents
• Shenandoah Valley Counseling Center, LLC
• Shenandoah Valley Gastroenterology Center, PLLC
• Charles Hunter Shomo II, NP
• Gerald R Showalter, PSY.D
• Kenneth Earle Showalter, PSY. D.
• Kerry Showalter, DPT, PT
• Leah L Showalter, OT

• Dentist in Waynesboro, VA
• Providers in Waynesboro, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.