Individual provider Active NPI

Debra Hsu Shin, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Potomac, MD
National Provider Identifier
1740338979
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
15637 Issued in MD
Practice address
11325 Seven Locks Rd Ste 256
Potomac, MD 20854-3230
Phone
(301) 770-7770
Fax
(301) 770-7776
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 15637 MD Primary

Addresses

Primary practice location

11325 Seven Locks Rd Ste 256
Potomac, MD 20854-3230

Mailing address

11325 Seven Locks Rd Ste 256
Potomac, MD 20854-3230
Phone (301) 770-7770

Other names 1

  • Dr. Debra D Hsu Former name

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

LicenseStateTypeSpecialty
15637MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shin Orthodontics Orthodontics and Dentofacial Orthopedics CurrentSince Nov 8, 2025 Accepting new patients

Locations

11325 Seven Locks Rd
Ste 256
Potomac, MD 20854
Phone (301) 750-6699

4701 Randolph Rd
Ste 108
Rockville, MD 20852
Phone (301) 770-7770

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1740338979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD STE 256",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543230",
            "telephone_number": "301-770-7770",
            "fax_number": "301-770-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD STE 256",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543230",
            "telephone_number": "301-770-7770",
            "fax_number": "301-770-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "DEBRA",
        "middle_name": "HSU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "15637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "HSU",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.