Susie Shin, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45973 Issued in CA

Practice address

450 Sutter St RM 1823
San Francisco, CA 94108-4102

Phone

(415) 986-6900

Fax

(415) 986-3092

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770709586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1823",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084102",
            "telephone_number": "415-986-6900",
            "fax_number": "415-986-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1823",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084102",
            "telephone_number": "415-986-6900",
            "fax_number": "415-986-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "SUSIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Ok Kyung Shin, PT
• Krystal Shin, PA-C
• Lauren H Shin, MD
• Seung Yun Shin
• Soo Min Shin
• Nicole Audra Shinbori, D.D.S.
• Alan William Shindel, M.D.
• Priyanka Shindgikar, MD
• Stephanie Shindler, CMT
• Britta Shine

• General Practice Dentistry in San Francisco, CA
• Providers in San Francisco, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.