Richard C Shin, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

13685 Issued in MD

Practice address

11325 Seven Locks Rd Ste 256
Potomac, MD 20854-3230

Phone

(301) 750-6699

Fax

(301) 770-7776

NPI assigned

Feb 9, 2007

Last updated

Oct 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Chong Yun Shin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shin Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Potomac, MD
  • NPI 1871994806
  NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1396886727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD STE 256",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543230",
            "telephone_number": "301-770-7770",
            "fax_number": "301-770-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD STE 256",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543230",
            "telephone_number": "301-750-6699",
            "fax_number": "301-770-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Randolph Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208522260",
            "country_code": "US",
            "telephone_number": "301-770-7770",
            "fax_number": "301-770-7776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIN",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "13685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHONG",
            "last_name": "SHIN",
            "middle_name": "YUN",
            "prefix": "DR.",
            "credential": "DDS, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin G Shapero, PH.D.
• Sharyn S. and Stuart L. Horwitz, PA
• Yuliya Shifrin
• Shin Orthodontics
• Debra Hsu Shin, DDS
• Jocelyn Shuler, RN, IBCLC
• Emil Nicholas Sidawy, PHARMD, MS
• Sightrite Medical MD LLC
• Howard Silby, M.D.
• Guillermo Selim Simon, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Potomac, MD
• Providers in Potomac, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.