Active NPI
Sherwin Rex Shinn, DDS
- Dentist
- Tokeland, WA
National Provider Identifier
1679723373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00004723
- Practice address
- 2373 Old Tokeland Road
Tokeland, WA 98590 - Phone
- (425) 736-1956
- Fax
- (425) 292-0551
- NPI assigned
- Sep 30, 2008
- Last updated
- May 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE00004723 | WA | Primary |
Addresses
Primary practice location
2373 Old Tokeland Road
Tokeland, WA 98590
Mailing address
42905 SE 137TH PL
North Bend, WA 98045-9052
Phone (425) 736-1956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE00004723 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1679723373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42905 SE 137TH PL",
"city": "NORTH BEND",
"state": "WA",
"postal_code": "980459052",
"telephone_number": "425-736-1956",
"fax_number": "425-292-0551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2373 OLD TOKELAND ROAD",
"city": "TOKELAND",
"state": "WA",
"postal_code": "98590",
"telephone_number": "425-736-1956",
"fax_number": "425-292-0551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHINN",
"first_name": "SHERWIN",
"middle_name": "REX",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00004723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tokeland, WA
- Joseph Goodfellow, LMHC-A
- Laura A Hamilton, CHEMICAL DEPENDENCY
- Pamela J Korzeniowski, PAC
- Jeanne Paul, LMFT
- F. Scott Powell, D.C.
- Shoalwater Bay Indian Tribe (Shoalwater Bay Tribal Clinic)
- Shoalwater Bay Indian Tribe (Shoalwater Bay Tribal Clinic)
- Shoalwater Bay Indian Tribe (Shoalwater Bay Tribal Clinic)
- Shoalwater Bay Indian Tribe (Shoalwater Bay Tribal Clinic)
- Shoalwater Bay Pharmacy (Pharmacy By The Bay)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.