NPIMap

Organization Active NPI

Yong J. Shin, D.D.S. Inc

  • Dental Clinic/Center
  • Ontario, CA
National Provider Identifier
1740693498
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49670 Issued in CA
Legal business name
YONG J. SHIN, D.D.S. INC
Practice address
1739 S Euclid Ave
Suite a
Ontario, CA 91762-5831
Phone
(909) 983-9325
Fax
(909) 467-9956
NPI assigned
Jun 10, 2014
Organization subpart
Yes
Parent organization
YONG J. SHIN, D.D.S. INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Authorized official

Name
Dr. Yong J. Shin, OWNER
Title
Dentist
Phone
(909) 983-9325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49670 CA Primary

Addresses

Primary practice location

1739 S Euclid Ave
Suite a
Ontario, CA 91762-5831

Mailing address

1739 S Euclid Ave
Suite a
Ontario, CA 91762-5831
Phone (909) 983-9325

National Provider Directory

National Provider Directory
Tax ID family
Yong J Shin DDS Inc2 organizations share this tax ID, including this one
Part of
Yong J Shin DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1739 S Euclid Ave
Ste A
Ontario, CA 91762
Phone (909) 983-9325

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1740693498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 S EUCLID AVE",
            "address_2": "SUITE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625831",
            "telephone_number": "909-983-9325",
            "fax_number": "909-467-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 S EUCLID AVE",
            "address_2": "SUITE A",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917625831",
            "telephone_number": "909-983-9325",
            "fax_number": "909-467-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONG J. SHIN, D.D.S. INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YONG J. SHIN, D.D.S. INC",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "YONG J.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "909-983-9325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.