NPIMap

Organization Active NPI

Daniel C Shin, DDS, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Baltimore, MD
National Provider Identifier
1689122541
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
15791 Issued in MD
Legal business name
DANIEL C SHIN, DDS, PC
Doing business as
Diamond Orthodontics
Practice address
2835 Smith Ave Ste B
Baltimore, MD 21209-1454
Phone
(410) 486-3636
Fax
(410) 486-3657
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Authorized official

Name
Daniel Shin, DDS
Title
Owner/President
Phone
(410) 486-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 15791 MD Primary

Addresses

Primary practice location

2835 Smith Ave Ste B
Baltimore, MD 21209-1454

Mailing address

2835 Smith Ave Ste B
Baltimore, MD 21209-1454
Phone (410) 486-3636

Other names 1

  • Diamond Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1689122541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091454",
            "telephone_number": "410-486-3636",
            "fax_number": "410-486-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 SMITH AVE STE B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091454",
            "telephone_number": "410-486-3636",
            "fax_number": "410-486-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL C SHIN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-486-3636",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "15791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.