Organization Active NPI

Myung Shik Shin DDS Inc

  • Dental Clinic/Center
  • Barstow, CA
National Provider Identifier
1487580684
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MYUNG SHIK SHIN DDS INC
Practice address
301 E Buena Vista St
Barstow, CA 92311-2803
Phone
(909) 328-9713
NPI assigned
Jun 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Myung Shik ShinNPI 1073349825
Title
Ceo
Phone
(909) 328-9713

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

301 E Buena Vista St
Barstow, CA 92311-2803

Mailing address

26149 Park Ave Unit 1
Loma Linda, CA 92354-6128

National Provider Directory

National Provider Directory

Locations

301 E Buena Vista St
Barstow, CA 92311
Phone (760) 460-4999

Practitioners & affiliated clinicians

Practitioners 1

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": "1782172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1487580684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26149 PARK AVE UNIT 1",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BUENA VISTA ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112803",
            "telephone_number": "909-328-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYUNG SHIK SHIN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "MYUNG SHIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-328-9713"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.