NPIMap

Organization Active NPI

Shin Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Potomac, MD
National Provider Identifier
1871994806
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13685 Issued in MD
Legal business name
SHIN ORTHODONTICS
Practice address
11325 Seven Locks Rd Ste 256
Potomac, MD 20854-3230
Phone
(301) 770-7770
Fax
(301) 770-7776
NPI assigned
Sep 9, 2014
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Richard C ShinNPI 1396886727
Title
Member
Phone
(301) 770-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 13685 MD Primary

Addresses

Primary practice location

11325 Seven Locks Rd Ste 256
Potomac, MD 20854-3230

Mailing address

11325 Seven Locks Rd Ste 256
Potomac, MD 20854-3230
Phone (301) 770-7770

National Provider Directory

National Provider Directory

Locations

11325 Seven Locks Rd
Ste 256
Potomac, MD 20854
Phone (301) 750-6699

4701 Randolph Rd
Ste 108
Rockville, MD 20852
Phone (301) 770-7770

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1871994806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD STE 256",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543230",
            "telephone_number": "301-770-7770",
            "fax_number": "301-770-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 SEVEN LOCKS RD STE 256",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543230",
            "telephone_number": "301-770-7770",
            "fax_number": "301-770-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-770-7770"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "13685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.