Shining Dental PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SHINING DENTAL PLLC

Practice address

14238 37TH Ave Unit 1F
Flushing, NY 11354-4569

Phone

(347) 699-8868

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Lily YeNPI 1932361144

Title

Owner

Phone

(718) 808-9898

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily Ye, DDS MS

  • Pediatric Dentistry
  • Flushing, NY
  • NPI 1932361144
  NPD Authorized official

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674950400000",
    "number": "1801357918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14238 37TH AVE UNIT 1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14238 37TH AVE UNIT 1F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544569",
            "telephone_number": "347-699-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "YE",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-808-9898"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03422497",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "14238 37th Ave Unit 1F",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113544569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Seunghwa Sarah Shin, D.D.S
• Song Shin, RPH, M.S.
• William Woosik Shin, MD
• Simardeep Kaur Shina, MD
• Marco Shing
• Justin Shirah
• SHK Premier Gastroenterology, PC
• Inna Shkadron, SP.ED.
• Eliana Shkedy, RD
• Natalie Shlomo, LMSW

• Pediatric Dentistry in Flushing, NY
• Providers in Flushing, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2023; 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.