Joon-Woo John Shin, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

41546 Issued in CA

Practice address

4955 Lincoln Ave
Cypress, CA 90630-2655

Phone

(714) 826-5437

Fax

(714) 826-8815

NPI assigned

Nov 8, 2006

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Joonwoo John Shin DMD Inc

  • Pediatric Dentistry
  • Cypress, CA
  • NPI 1275773905
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1831269935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302655",
            "telephone_number": "714-826-5437",
            "fax_number": "714-826-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 LINCOLN AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302655",
            "telephone_number": "714-826-5437",
            "fax_number": "714-826-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JOON-WOO",
        "middle_name": "JOHN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "41546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omid Shayan, D.D.S
• Isabella Grace Shead
• Gabrielle Sheets
• Hee Chaul Shin, LAC
• Hyeyoung Shin, L.AC
• Sangho Shin, DDS
• Athena Shojaei Barjooie
• Lorraine Denise Shorman, CD(DONA)
• Danielle Shults, M.S., CCC-SLP
• Elyse Silva

• Pediatric Dentistry in Cypress, CA
• Providers in Cypress, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.