Mingyu Shin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS045774 Issued in PA

Practice address

150 Macdade Blvd Ste G
Darby, PA 19023-1814

Phone

(610) 583-2020

NPI assigned

Mar 30, 2026

Last updated

Jun 10, 2026By the provider in NPPES

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Dental LLC

  • General Practice Dentistry
  • Darby, PA
  • NPI 1013393628
  NPD (past)

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1821938242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N 18TH ST APT 1134",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304199",
            "telephone_number": "573-292-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MACDADE BLVD STE G",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190231814",
            "telephone_number": "610-583-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "MINGYU",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoaib Altaf Sheikh, M.D.
• Amadou Sheriff
• Tal Sherman, MD
• Shivang Sheth, DO
• Chun Kai Sheu, MD
• Mari A Siegel, MD
• Muhammad Tajudeen Sikirulai
• Lee Silverman, M.D.
• Salmi Simmons, M.D.
• Matthew Solomon Simon, MD

• General Practice Dentistry in Darby, PA
• Providers in Darby, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.