Dong-Jin Shin, DMD., MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

16910 Issued in MD

Practice address

5904 Hubbard Dr
North Bethesda, MD 20852-4823

Phone

(301) 377-8306

NPI assigned

Oct 6, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Shin Prosthodontics LLC

  • Prosthodontics
  • North Bethesda, MD
  • NPI 1255098620
  NPD Authorized official
• Ak Endodontics

  • Dentist
  • Vienna, VA
  • NPI 1093442766
  NPD (past)
• Heights Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1285645051
  NPD (past)

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1235532292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 HUBBARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524823",
            "telephone_number": "301-377-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5904 HUBBARD DR",
            "city": "NORTH BETHESDA",
            "state": "MD",
            "postal_code": "208524823",
            "telephone_number": "301-377-8306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Maple Ave W Ste J",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221804309",
            "country_code": "US",
            "telephone_number": "301-377-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "DONG-JIN",
        "name_prefix": "Dr.",
        "credential": "DMD., MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401416931",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MD",
            "license": "16910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Seiceanu
• Mina Seyed-Ali, PT, DPT
• Anu Sharma, MD
• Mohammad Reza Shefaat, D.D.S.
• Shin Prosthodontics LLC
• Side by Side Counseling & Consulting LLC
• Arthur F. Simone Jr., M.D.
• Smilewell, LLC
• Endia Loreece Smith, MPT
• Bernard Melvin Snyder, MD

• Prosthodontics in North Bethesda, MD
• Providers in North Bethesda, MD by specialty
• Prosthodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.