Active NPI
Shin Dental
- General Practice Dentistry
- New York, NY
National Provider Identifier
1932013133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SHIN DENTAL
- Practice address
- 30 Central Park S RM 11D
New York, NY 10019-1649 - Phone
- (917) 773-1353
- NPI assigned
- Oct 2, 2026
- Last updated
- Oct 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hyo Sup Shin, DDS
- Title
- Owner
- Phone
- (917) 773-1353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
30 Central Park S RM 11D
New York, NY 10019-1649
Mailing address
200 Riverside Blvd Apt 28B
New York, NY 10069-0905
Phone (917) 773-1353
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- New York, NY
- NPI 1043890940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1932013133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RIVERSIDE BLVD APT 28B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100690905",
"telephone_number": "917-773-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CENTRAL PARK S RM 11D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191649",
"telephone_number": "917-773-1353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIN DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-02",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "SHIN",
"authorized_official_first_name": "HYO SUP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-773-1353",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.