Sung Soo Shyn, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DDS50862 Issued in CA

Practice address

355 Monte Vista Dr Ste D
Dinuba, CA 93618-9229

Phone

(559) 596-0300

NPI assigned

Aug 11, 2007

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

Interoperability endpoints

• Direct secure messaging: sshyn@direct.westerndental.com

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.

• Shyn Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dinuba, CA
  • NPI 1316524622
  NPD Authorized official
• Sung Shyn, DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clovis, CA
  • NPI 1376120592
  NPD Authorized official

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1740472950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27425",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297425",
            "telephone_number": "559-325-8000",
            "fax_number": "559-325-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 MONTE VISTA DR STE D",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936189229",
            "telephone_number": "559-596-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 W Shaw Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936123694",
            "country_code": "US",
            "telephone_number": "559-325-8000",
            "fax_number": "559-325-6989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHYN",
        "first_name": "SUNG",
        "middle_name": "SOO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "DDS50862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarvamitra Awasthi, M.D., Inc.
• Rosalba Saucedo, ASW
• David Savala
• Dina Shibeika
• Shyn Dental Corporation
• Bridget Silva, PPS
• Diane Juanita Silva, LVN
• Marilice A Silveira, D.D.S.
• Roderick H Sorensen, DC
• Amanda Rachelle Soto

• Orthodontics and Dentofacial Orthopedics Dentistry in Dinuba, CA
• Providers in Dinuba, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.