Esther Shin, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

63733 Issued in CA

Practice address

41115 Winchester Rd
Suite 102
Temecula, CA 92591-6001

Phone

(951) 331-7016

NPI assigned

Apr 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1912240169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41115 WINCHESTER RD",
            "address_2": "SUITE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41115 WINCHESTER RD",
            "address_2": "SUITE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916001",
            "telephone_number": "951-331-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-05",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Sherwood
• Haley Morgan Shields, BEHAVIOR TECHNICIAN
• Terence Le Roy Shigg
• Diane Maki Shimizu, PHARMD
• Bruce Shin, D.C.
• Sang Hee Shin, DACM, LAC
• Jocelyn Mieko Shinagawa, L.AC.
• Maria Lorena Shindledecker
• Shirley S House of Therapy Corporation (Shirley's House of Therapy)
• Rhea Shishodia, DO

• Dentist in Temecula, CA
• Providers in Temecula, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.