Hun Shim, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-024511 Issued in OH

Practice address

3329 Broadview Rd
Cleveland, OH 44109-3315

Phone

(216) 398-8900

Fax

(216) 741-3131

NPI assigned

Jun 3, 2015

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

Enrolled in OH

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.

• John a Hudec DDS Inc

  • General Practice Dentistry
  • Cleveland, OH
  • NPI 1306878004
  NPD (past)
• John a Hudec DDS Specialty Services Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Cleveland, OH
  • NPI 1831121581

  General Practice

  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1366822454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 SHAKER BLVD APT 502B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093315",
            "telephone_number": "216-398-8900",
            "fax_number": "216-741-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIM",
        "first_name": "HUN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-024511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiftgotansport Inc
• Khalda Shilad, P.A.
• Megan Shiles, PH.D.
• Tovabracha Shilian
• Alase Shiloh
• Hideharu Shimizu, MD
• Michelle Riyo Shimizu
• Shoji Shimizu, MD
• Nicholas Anthony Shimmin
• Charles C Shin, MD

• General Practice Dentistry in Cleveland, OH
• Providers in Cleveland, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.