David D Shin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42419 Issued in CA

Practice address

21 Upper Ragsdale Dr
Suite 170
Monterey, CA 93940-7831

Phone

(831) 375-2600

NPI assigned

Sep 20, 2006

Last updated

Jul 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1306944491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR",
            "address_2": "SUITE 170",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407831",
            "telephone_number": "831-375-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 UPPER RAGSDALE DR",
            "address_2": "SUITE 170",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407831",
            "telephone_number": "831-375-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "DAVID",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shehab Saddy (Geriatric Medical Center of Monterey Penin)
• Elia Sherman
• Anna Jing Shi, M.D.
• Blynn L Shideler, M.D., P.C.
• Roger Shiffman, M.D.
• Mimie Pak Shin, M.P.T.
• Seokmoon Shin
• Catherine Shirley
• Gregory T Sholeff, MD
• Shoreline Oncology and Hematology Inc

• General Practice Dentistry in Monterey, CA
• Providers in Monterey, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.