David Joseph Shin, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F4523 Issued in TX

Practice address

14811 Saint Marys LN
Ste 168
Houston, TX 77079-2916

Phone

(281) 392-3100

Fax

(281) 392-4287

NPI assigned

Jun 2, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1851395115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14027 MEMORIAL DR",
            "address_2": "STE 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796826",
            "telephone_number": "281-392-3100",
            "fax_number": "281-392-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14811 SAINT MARYS LN",
            "address_2": "STE 168",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792916",
            "telephone_number": "281-392-3100",
            "fax_number": "281-392-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F4523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P00RL02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naoki Ned Shimizu, D.D.S.
• Shimmer Dental PLLC
• Melody Shimpano
• Amita Shimpi Bhalla, MD
• David Dongryun Shin, MD
• Eric Eojin Shin
• Heesoo Shin, PHARMD
• Jae Wook Shin, MD
• Jisoo Shin, D.D.S.
• Joann H Shin, DDS

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.