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HYO SUP SHIN DDS
NPI 1043890940
Dentist - General Practice in New York, NY

Active since April 13, 2021
30 CENTRAL PARK S RM 11D, NEW YORK, NY 10019(646) 722-1177 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2023, Apr 13, 2021 (2 updates tracked since 2021).

About Hyo Sup Shin Dds NPPES

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

HYO SUP SHIN DDS (NPI 1043890940) is an individual general practice provider in New York, New York, licensed in New York (062601) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1043890940
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameHYO SUP SHINCredential: DDS
Location Address30 CENTRAL PARK S RM 11DNew York, NY 10019-1649
Mailing Address30 Central Park S Rm 11dNew York, NY 10019-1649
Phone(646) 722-1177
Sole ProprietorYes
Enumeration DateApril 13, 2021
Last NPPES UpdateMarch 30, 20232 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1043890940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 062601
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
30 CENTRAL PARK S RM 11D, New York, NY 10019
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Other Names 1

Other Name (5)Peter Shin Dds

Other Providers at the Same Location NPPES

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

DR. JIN SUP SHIN, DDS, P.C.
Dentist (General Practice)
30 CENTRAL PARK S RM 11D
NEW YORK, NY 10019
New York County (917) 971-3232

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 Hyo Sup Shin's NPI number?

The NPI number for Hyo Sup Shin is 1043890940. It was assigned to this individual provider in the NPPES registry on April 13, 2021. The provider is also known as Peter Shin Dds.

Where is Hyo Sup Shin located?

Hyo Sup Shin practices at 30 Central Park S Rm 11D, New York, NY 10019. The listed phone number is (646) 722-1177.

What is Hyo Sup Shin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Hyo Sup Shin was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.