DR. DANIEL EDWARD SHIN (NPI# 1770716607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770716607 |
| Entity Type | Individual |
| Full Name | DR. DANIEL EDWARD SHIN |
| Credential | DDS |
| Practice Address |
1121 W Michigan Street Ds307b Indianapolis IN 46202-5186 |
| Practice Telephone | 3172783632 |
| Practice Fax Number | 3172742603 |
| Mailing Telephone | 3172783632 |
| Mailing Fax Number | 3172742603 |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2016-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
12011064A | IN | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
052940 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619426830 | Daniel Shin | Pharmacist | 2 Marlon Ln, Hauppauge, NY 11788-3005 | 2016-09-28 |
| 1326232562 | Daniel Shin | Pharmacist | 184 Technology Dr Ste 100, Irvine, CA 92618-2457 | 2007-08-30 |
| 1083720056 | Daniel Christian Shin | Dentist | 500 Ala Moana Blvd #220, Seven Waterfront Plaza, Honolul, HI 96813-9681 | 2006-08-22 |
| 1295713816 | Daniel Y Shin | Physical Medicine & Rehabilitation | 8628 E Imperial Hwy, Downey, CA 90242 | 2006-01-04 |
| 1467060475 | Daniel Myeongchull Shin | Chiropractor | 6800 Pittsford Palmyra Rd Ste 420, Fairport, NY 14450-3520 | 2020-07-15 |
| 1972163616 | Daniel Shin | Physical Therapist | 1785 S Hayes St, Arlington, VA 22202-2714 | 2019-06-15 |
| 1851755086 | Daniel Shin | Internal Medicine | 2701 Dekalb Pike, Norristown, PA 19401-1820 | 2016-04-13 |
| 1912369463 | Daniel Shin | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Hunnewell Building Pavilion 129, Housestaff Lounge, Boston, MA 02115-5724 | 2016-03-23 |
| 1386902419 | Daniel Sanghoon Shin | Internal Medicine | 100 Ucla Medical Plz Ste 550, Los Angeles, CA 90024-6998 | 2012-04-26 |
| 1588940142 | Daniel Hyun Shin | Urology | 1200 N State St, Clinic Tower Room A7d, Los Angeles, CA 90033-1029 | 2011-10-27 |
| Street Address |
1121 W MICHIGAN STREET DS307B |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356334072 | Paul C. Edwards | Dentist | 1121 W Michigan Street, Indianapolis, IN 46202-5186 | 2005-08-29 |
| 1669864575 | Esperanza Martinez Mier | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2015-03-02 |
| 1144665167 | Tasha E Hall | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2013-05-03 |
| 1407168636 | Wei-shao Lin | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2010-07-02 |
| 1265769780 | Jeannie M Vickery | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2009-11-04 |
| 1316187016 | Larry A Crisafulli | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2009-02-20 |
| 1134347776 | Thomas G Barrick | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2007-04-20 |
| 1598892374 | Daniel S Bennett | Dentist | 1121 W Michigan Street, Ds 307b, Indianapolis, IN 46202-5186 | 2007-02-27 |
| 1275643371 | Brooke N Adams | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2006-08-30 |
| 1841244803 | Craig T Mueller | Dentist | 1121 W Michigan Street, Ds307b, Indianapolis, IN 46202-5186 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609421965 | Hawra Alqallaf | Dentist | 1121 W Michigan St # Ds422, Indianapolis, IN 46202-5211 | 2019-08-05 |
| 1518470897 | Meridian Street Periodontics, LLC | Dentist | 8801 N Meridian St Ste 103, Indianapolis, IN 46260-2353 | 2017-11-09 |
| 1164726832 | Indy East Periodontics PC | Dentist | 115 N Shortridge Rd Ste 100, Indianapolis, IN 46219-4917 | 2011-01-10 |
| 1831316769 | Michael Kevin Gossweiler | Dentist | 7537 W 38th St, Indianapolis, IN 46254-2937 | 2007-04-20 |
| 1942358007 | Daniel Gomes | Dentist | 8235 Country Village Dr, Indianapolis, IN 46214 | 2007-01-08 |
| 1902963507 | Carl Lerner | Dentist | 8937 Southpointe Dr, Suite A-2, Indianapolis, IN 46227-1086 | 2007-01-02 |
| 1962561209 | John A Overman | Dentist | 3003 E 98th St Ste 241, Indianapolis, IN 46280-2907 | 2006-12-06 |
| 1790864445 | Stephen B Towns | Dentist | 508 Indiana Ave, Indianapolis, IN 46202-3106 | 2006-11-03 |
| 1295816007 | Kurt David Vanwinkle | Dentist | 8902 N Meridian St Ste 138, Indianapolis, IN 46260-5306 | 2006-10-18 |
| 1427067289 | Jay R Beagle | Dentist | 3003 E 98th St Ste 200, Indianapolis, IN 46280-1973 | 2006-08-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
Please comment or provide details below to improve the information on DR. DANIEL EDWARD 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.