SEUNGMOOK SHIN DC
NPI 1104150077
Chiropractor in North Wales, PA

Active since September 25, 2009Accepts Medicare Assignment
1200 WELSH RD # F2, NORTH WALES, PA 19454(215) 647-2188(215) 647-2943 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Apr 30, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Seungmook Shin Dc NPPES

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

SEUNGMOOK SHIN DC (NPI 1104150077) is an individual chiropractor in North Wales, Pennsylvania, licensed in Pennsylvania (DC010156) and active in the NPI registry since September 2009. He is a graduate of Life Chiropractic College (2009).

NPPES Registry Identity

NPI1104150077
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSEUNGMOOK SHINCredential: DC
Location Address1200 WELSH RD # F2North Wales, PA 19454-3771
Mailing Address1200 Welsh Rd # F2North Wales, PA 19454-3771 · (215) 647-2188 · Fax (215) 647-2943
Fax(215) 647-2943
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2009
Enumeration DateSeptember 25, 2009
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1104150077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in PA · DC010156
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1200 WELSH RD # F2, North Wales, PA 19454

Other Identifiers 1

Medicaid268736YNPQPA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Seungmook Shin Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335394741
PECOS Enrollment IDI20130308000134

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
43 services11 patients

Other Providers at the Same Location NPPES

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

Chiropractor
1200 WELSH RD # F2
NORTH WALES, PA 19454

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 Seungmook Shin's NPI number?

The NPI number for Seungmook Shin is 1104150077. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is Seungmook Shin located?

Seungmook Shin practices at 1200 Welsh Rd # F2, North Wales, PA 19454. The listed phone number is (215) 647-2188.

What is Seungmook Shin's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Seungmook Shin enrolled in Medicare?

Yes. Seungmook Shin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Seungmook Shin was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.