Organization Active NPI

Oly Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Olympia, WA
National Provider Identifier
1952260499
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OLY ORTHODONTICS
Practice address
3620 Ensign Rd NE Ste a
Olympia, WA 98506-6957
Phone
(360) 491-9594
Fax
(360) 491-9410
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Dong Uk Shin, DDS, MSDNPI 1669095063
Title
Orthodontist
Phone
(360) 491-9594

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 NU Primary

Addresses

Primary practice location

3620 Ensign Rd NE Ste a
Olympia, WA 98506-6957

Mailing address

3620 Ensign Rd NE Ste a
Olympia, WA 98506-6957
Phone (360) 491-9594

National Provider Directory

National Provider Directory

Locations

3620 Ensign Rd NE
Ste A
Olympia, WA 98506
Phone (360) 491-9594

Practitioners & affiliated clinicians

Practitioners 2

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": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1952260499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 ENSIGN RD NE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066957",
            "telephone_number": "360-491-9594",
            "fax_number": "360-491-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 ENSIGN RD NE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066957",
            "telephone_number": "360-491-9594",
            "fax_number": "360-491-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "UK",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "360-491-9594",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.