Anna Shin DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI0226700 Issued in NJ

Legal business name

ANNA SHIN DDS, INC

Practice address

422 Main St FL 1
Fort Lee, NJ 07024-2861

Phone

(201) 585-1838

Fax

(201) 585-1719

NPI assigned

Sep 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Hyun Won Anna Shin, DDSNPI 1396834016

Title

Dentist

Phone

(201) 585-1838

Specialties & licenses 1

Addresses

Other names 1

• Modern Dental Other name

Locations

Practitioners 2

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.

• Hyun Won Shin, D.D.S

  • General Practice Dentistry
  • Fort Lee, NJ
  • NPI 1396834016
  NPD Authorized official
• Jung Bin Lee, DDS

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1942986914
  NPD

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467971614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MAIN ST FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242861",
            "telephone_number": "201-585-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MAIN ST FL 1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242861",
            "telephone_number": "201-585-1838",
            "fax_number": "201-585-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA SHIN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "HYUN WON",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-585-1838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI0226700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sanghyop An, PT, DPT
• Andrew M Rodgers (Fort Lee Chiropractic Associates)
• Andrew Nam, MD, Mba P.C. (Nam MD Pain and Spine)
• Andrew Razin, M.D., P.C.
• Ankle & Foot Podiatry Institute, PA (Fort Lee Podiatry, PA)
• Antena Eyecare LLC (Antena Eyecare)
• Maria Apergis, DMD
• Ark Meridian Healthcare, LLC
• At Home Sleep Solutions by Abs LLC
• Atlantic Health

• Dental Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.