DR. BRIAN SHIN (NPI# 1427182658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427182658 |
| Entity Type | Individual |
| Full Name | DR. BRIAN SHIN |
| Credential | DDS |
| Practice Address |
195 University Park Dr Edwardsville IL 62026-0001 |
| Mailing Address |
13 River Reach Ct Apt. R Alton IL 62002-7395 |
| Practice Telephone | 6186505062 |
| Mailing Telephone | 3124937266 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860404 | Brian Jisu Shin | Student in an Organized Health Care Education/Training Program | 8293 Perla Dr, Riverside, CA 92504-2419 | 2020-01-14 |
| 1194193136 | Brian Shin | Marriage & Family Therapist | 855 Bowsprit Rd Ste B, Chula Vista, CA 91914-4529 | 2015-09-08 |
| 1013156421 | Brian Jung Hyun Shin | Physical Therapist | 1820 Highway 20 Se, Ste 146, Conyers, GA 30013-2077 | 2009-02-09 |
| 1265094247 | Brian Shin | Student in an Organized Health Care Education/Training Program | 205 N East Ave, Jackson, MI 49201-1753 | 2019-07-01 |
| 1316443963 | Brian S Shin | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2018-04-03 |
| 1093247793 | Brian Chulmin Shin | Student in an Organized Health Care Education/Training Program | 4150 V St # 1200, Sacramento, CA 95817-1460 | 2017-03-31 |
| 1942349634 | Brian Yong-seop Shin | Internal Medicine | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-02-06 |
| 1194896134 | Brian Jai Shin | Radiology | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2006-11-13 |
| Street Address |
195 UNIVERSITY PARK DR |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62026-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018301 | Kari Kristine Hullinger | Student in an Organized Health Care Education/Training Program | Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-21 |
| 1962028407 | Melissa Welge | Student in an Organized Health Care Education/Training Program | Southern Illinois University 6 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-21 |
| 1447876974 | Bailey Johnston | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-20 |
| 1649896374 | Abigail Kirstie Brohammer | Student in an Organized Health Care Education/Training Program | Siue School of Nursing Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-18 |
| 1609498633 | Jenny Lieu | Student in an Organized Health Care Education/Training Program | 1 Hairpin Drive, Edwardsville, IL 62026-0001 | 2020-05-13 |
| 1174858005 | Sheryl L Salaris | Psychiatry & Neurology | Siue Health Counseling Services, Student Success Center, Rm. 0220, Edwardsville, IL 62026-0001 | 2009-10-09 |
| 1962659664 | Stacey M Thacker | Clinic/Center | 200 University Park Dr, Campus Box 2000, Edwardsville, IL 62026-0001 | 2008-08-25 |
| 1164490736 | Gerald L Schlemer | Specialist/Technologist | Southern Illinois University Edwardsville, Campus Box 1129 Athletics, Edwardsville, IL 62026-0001 | 2006-03-09 |
| 1245847276 | Mai-linh Thi Nguyen | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-09-24 |
| 1093331530 | Aubrey Lynn Ferris Parnell | Student in an Organized Health Care Education/Training Program | 1 Hairpin Drive, Edwardsville, IL 62026-0001 | 2020-06-21 |
| Find all providers in zip 62026 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1588222632 | Tanner Michael Brown | Dentist | 1811 Lindenwood Ave, Edwardsville, IL 62025-2580 | 2019-06-04 |
| 1316227283 | Dental Arts PC | Dentist | 386 Northampton St, Edwardsville, PA 18704-5448 | 2011-08-24 |
| 1780828376 | Robert A Meintrup | Dentist | 227 Park Dr, Edwardsville, IL 62025-4230 | 2009-04-27 |
| 1093937336 | Dental Professionals of Illinois, P.C. | Dentist | 2 Club Centre Court, Edwardsville, IL 62025 | 2007-05-03 |
| 1114146842 | Walter B. Osika | Dentist | 535 Saint Louis St, Edwardsville, IL 62025-1501 | 2007-04-24 |
| 1295951606 | Kenneth C Hyten & David W Hyten Ltd | Dentist | 2110 Troy Rd, Suite A, Edwardsville, IL 62025-2549 | 2007-04-17 |
| 1558416511 | David W Hyten | Dentist | 2110 Troy Rd Ste A, Edwardsville, IL 62025-2549 | 2007-01-23 |
| 1801952403 | Gary Michael Fischer | Dentist | 618 St Louis Road, Edwardsville, IL 62025 | 2006-12-28 |
| 1316015753 | Paul T Kundrick Dds,pc | Dentist | 235a S Main St, Edwardsville, IL 62025-1921 | 2006-12-02 |
| Find all providers in EDWARDSVILLE | ||||
| City | EDWARDSVILLE |
| Zip Code | 62026 |
Please comment or provide details below to improve the information on DR. BRIAN SHIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.