Dong Pyo Shin, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

386 Issued in GA

Practice address

4500 Satellite Blvd Ste 2370
Duluth, GA 30096-5067

Phone

(678) 858-9644

NPI assigned

Sep 16, 2010

Sex

Male

Sole proprietor

Yes

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

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.

• Dong Shin Acupuncture

  • Acupuncturist
  • Duluth, GA
  • NPI 1184190365
  NPD (past) Authorized official
• Dong Shin Acupuncture LLC

  • Acupuncturist
  • Duluth, GA
  • NPI 1568055499
  NPD

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1306154935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD STE 2370",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965067",
            "telephone_number": "678-858-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SATELLITE BLVD STE 2370",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965067",
            "telephone_number": "678-858-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "DONG PYO",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC13626",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Lee Shelton, M.D.
• Shenelle LLC
• Wesley Scott Sherrell, D.M.D.
• Tatiana Shifrin, DMD
• Young Tae Shim, DMD
• Dongwoo Shin
• Jocelyn Yeyoung Shin, DDS
• Shine Christian Senior Center
• Lindsey Noel Shirley, MSN, APRN, AGACNP
• Srushti Shiroya

• Acupuncturist in Duluth, GA
• Providers in Duluth, GA by specialty
• Acupuncturist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.