NPIMap

Organization Active NPI

Sung Shyn, DDS, Inc

Doing business as Clovis Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clovis, CA
National Provider Identifier
1376120592
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SUNG SHYN, DDS, INC
Doing business as
Clovis Orthodontics
Practice address
240 W Shaw Ave Ste 110
Clovis, CA 93612-3694
Phone
(559) 325-8000
Fax
(559) 325-6989
NPI assigned
Mar 24, 2021
Last updated
Mar 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Dr. Sung Shyn, DDSNPI 1740472950
Title
President
Phone
(559) 325-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

240 W Shaw Ave Ste 110
Clovis, CA 93612-3694

Mailing address

240 W Shaw Ave Ste 110
Clovis, CA 93612-3694
Phone (559) 325-8000

Other names 1

  • Clovis Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clovis Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

240 W Shaw Ave
Ste 110
Clovis, CA 93612
Phone (559) 325-8000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1376120592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W SHAW AVE STE 110",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123694",
            "telephone_number": "559-325-8000",
            "fax_number": "559-325-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W SHAW AVE STE 110",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123694",
            "telephone_number": "559-325-8000",
            "fax_number": "559-325-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG SHYN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "SHYN",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-325-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clovis Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.