Moses Shin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1855150 Issued in MA

Practice address

234 Essex St
Lawrence, MA 01840-1549

Phone

(978) 937-4444

NPI assigned

Jun 5, 2009

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

Other identifiers 1

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1326274242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 KENNEDY DR APT 209",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021483436",
            "telephone_number": "617-935-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401549",
            "telephone_number": "978-937-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "MOSES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMD DENTIST",
            "identifier": "DN1855150",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabine Shaughnessy, MD
• JC Michael Shea, M.D.
• Janet Sheehan, NP
• Kristine Lynne Sheehan, RPH
• Madlin Shehada
• Theodore Shopov, M.D.
• Hina Siddique, MSW
• Richard Paul Sidie
• Barry Joel Siegel, LADC1
• Cesarina Silfa

• General Practice Dentistry in Lawrence, MA
• Providers in Lawrence, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.