Shines LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SHINES LLC

Practice address

11085 Resort Rd Ste 400
Ellicott City, MD 21042-2071

Phone

(312) 505-1629

NPI assigned

Mar 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Eui Shin

Title

Owner

Phone

(312) 505-1629

Specialties & licenses 2

Addresses

Other names 1

• Ace Dental Clinic Doing business as

Locations

Practitioners 1

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

• Eui Sik Shin, DDS

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1104233998
  NPD

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1649928649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11085 RESORT RD STE 400",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422071",
            "telephone_number": "312-505-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11085 RESORT RD STE 400",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422071",
            "telephone_number": "312-505-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "EUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-505-1629",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ace Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soumil Sheth, PHARMD
• Qinghong Shi
• Chul Ho Shin, PHARMACIST
• Young-Rok Shin, M.D.
• Shine Family Dentistry,LLC
• Jan Shipley
• Yevgeny Shirokobrod, DPT
• Sharon Shivers
• Deven V Shroff, D.M.D., F.A.G.D.
• Samir Fahmi Shureih, M.D.

• Dental Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.