NPIMap

Organization Active NPI

Joann Shin DDS Corporation

Doing business as Laredo Family Dental

  • Dentist
  • Laredo, TX
National Provider Identifier
1902239122
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26167 Issued in TX
Legal business name
JOANN SHIN DDS CORPORATION
Doing business as
Laredo Family Dental
Practice address
2420 Bob Bullock Loop
Laredo, TX 78043
Phone
(808) 989-1879
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Joann Shin, DDS
Title
President
Phone
(808) 989-1879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 26167 TX Primary

Addresses

Primary practice location

2420 Bob Bullock Loop
Laredo, TX 78043

Mailing address

302 Bob Bullock Loop
#15308
Laredo, TX 78043-4265
Phone (808) 989-1879

Other names 1

  • Laredo Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hollywood Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2420 Bob Bullock Loop
Laredo, TX 78043
Phone (808) 989-1879

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1902239122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BOB BULLOCK LOOP",
            "address_2": "#15308",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434265",
            "telephone_number": "808-989-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 BOB BULLOCK LOOP",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "78043",
            "telephone_number": "808-989-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANN SHIN DDS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-989-1879",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laredo Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.