NPIMap

Organization Active NPI

Shin D.D.S., P.S., LLC

Doing business as Pacific Family Dentistry

  • Dental Clinic/Center
  • Tacoma, WA
National Provider Identifier
1699942946
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
9744 Issued in WA
Legal business name
SHIN D.D.S., P.S., LLC
Doing business as
Pacific Family Dentistry
Practice address
205 117TH St S
Tacoma, WA 98444-5409
Phone
(253) 531-7111
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Sang Yoon Shin, D.D.S.NPI 1821140997
Title
Owner
Phone
(253) 531-7111

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 9744 WA Primary

Addresses

Primary practice location

205 117TH St S
Tacoma, WA 98444-5409

Mailing address

205 117TH St S
Tacoma, WA 98444-5409
Phone (253) 531-7111

Other names 1

  • Pacific Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

205 117th St S
Tacoma, WA 98444
Phone (253) 531-7111

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": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1699942946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 117TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445409",
            "telephone_number": "253-531-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 117TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984445409",
            "telephone_number": "253-531-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN D.D.S., P.S., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "YOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-531-7111",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "9744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.