Korrey Shin

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40647 Issued in TX

Practice address

5867 N Mesa St Ste B
El Paso, TX 79912-4678

Phone

(915) 504-6888

NPI assigned

Jun 23, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Ep Dentistry 4 Kids - Mesa PLLC

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1659677334
  NPD

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1649956632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5867 N MESA ST STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124678",
            "telephone_number": "915-504-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5867 N MESA ST STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124678",
            "telephone_number": "915-504-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "KORREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genesis Shevis
• Ted Shi, MD
• Shield of Grace HHC, LLC
• Ferial Darwish Shihadeh, MD
• Sergey Shimunov
• Colton Richard Shinaut, DPT
• Patricia Shingledecker
• Carmen Shipp, PTA
• Shirley Ann Mata Adami
• Pratibha K. Shirsat, M.D

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.