KYUNGSUP SHIN DMD
NPI 1023446853
Dentist - Orthodontics and Dentofacial Orthopedics in Iowa City, IA

Active since October 14, 2013PECOS Enrolled
219 DENTAL SCIENCE BLDG S, IOWA CITY, IA 52242(319) 335-7287 Get Directions Write a Review

NPPES record last updated: August 14, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kyungsup Shin Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYUNGSUP SHIN DMD (NPI 1023446853) is an individual orthodontics and dentofacial orthopedics provider in Iowa City, Iowa, licensed in Iowa (40155) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023446853
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameKYUNGSUP SHINCredential: DMD
Location Address219 DENTAL SCIENCE BLDG SIowa City, IA 52242-1001
Mailing Address322 Dental Science Bldg SIowa City, IA 52242-1001 · (319) 335-7440 · Fax (319) 335-7451
Sole ProprietorNo
Enumeration DateOctober 14, 2013
Last NPPES UpdateAugust 14, 2015
NPI 1023446853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IA · 40155
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

219 DENTAL SCIENCE BLDG S, Iowa City, IA 52242

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kyungsup Shin Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
219 DENTAL SCIENCE BLDG S
IOWA CITY, IA 52242
Dentist (Orthodontics and Dentofacial Orthopedics)
219 DENTAL SCIENCE BLDG S
IOWA CITY, IA 52242
Student in an Organized Health Care Education/Training Program
219 DENTAL SCIENCE BLDG S
IOWA CITY, IA 52242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyungsup Shin's NPI number?

The NPI number for Kyungsup Shin is 1023446853. It was assigned to this individual provider in the NPPES registry on October 14, 2013.

Where is Kyungsup Shin located?

Kyungsup Shin practices at 219 Dental Science Bldg S, Iowa City, IA 52242. The listed phone number is (319) 335-7287.

What is Kyungsup Shin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Kyungsup Shin enrolled in Medicare?

Yes. Kyungsup Shin is registered in the Medicare PECOS enrollment system.

What insurance does Kyungsup Shin accept?

Health plans from Anthem Blue Cross and Blue Shield, Delta Dental of Iowa and Florida Combined Life list Kyungsup Shin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyungsup Shin was last updated on August 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.