NPIMap

Organization Active NPI

Jocelyn Y. Shin D.D.S., LLC

  • General Practice Dentistry
  • Cockeysville, MD
National Provider Identifier
1386145373
Registry record updated Feb 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15296 Issued in MD
Legal business name
JOCELYN Y. SHIN D.D.S., LLC
Practice address
106 Old Padonia Rd
Cockeysville, MD 21030-4968
Phone
(410) 628-0118
NPI assigned
Feb 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2018

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

Authorized official

Name
Dr. Jocelyn Shin, DDSNPI 1710276795
Title
Owner
Phone
(443) 824-3360

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 15296 MD Primary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN014217 GA

Addresses

Primary practice location

106 Old Padonia Rd
Cockeysville, MD 21030-4968

Mailing address

825 Saint Marks Walk
Suwanee, GA 30024-1288
Phone (443) 824-3360

Other identifiers 1

IdentifierTypeStateIssuer
DN014217OtherGAGEORGIA BOARD OF DENTISTRY

National Provider Directory

National Provider Directory

Locations

106 Old Padonia Rd
Cockeysville, MD 21030
Phone (410) 628-0118

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519430400000",
    "number": "1386145373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SAINT MARKS WALK",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241288",
            "telephone_number": "443-824-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 OLD PADONIA RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210304968",
            "telephone_number": "410-628-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOCELYN Y. SHIN D.D.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-24",
        "last_updated": "2018-02-24",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-824-3360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15296",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF DENTISTRY",
            "identifier": "DN014217",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2018; 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.