YOUNG SHIN DDS
NPI 1104256015
Dentist - General Practice in Milwaukee, WI
About Young Shin Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOUNG SHIN DDS (NPI 1104256015) is an individual general practice provider in Milwaukee, Wisconsin, licensed in Wisconsin (6002006-15) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Young Shin Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Young Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Young Shin's NPI number?
The NPI number for Young Shin is 1104256015. It was assigned to this individual provider in the NPPES registry on November 14, 2013.
Where is Young Shin located?
Young Shin practices at 5433 W Fond Du Lac Ave, Milwaukee, WI 53216. The listed phone number is (414) 277-8900.
What is Young Shin's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Young Shin enrolled in Medicare?
Yes. Young Shin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Young Shin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Young Shin reassigns Medicare benefits to Detroit Central City Community Mental Health, Inc (Detroit, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Young Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Young Shin accept?
Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Young 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 Young Shin was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Young Shin, DDS · NPI 1104256015
General Practice provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since November 14, 2013.
## Identity
- **NPI:** 1104256015 (Entity type: Individual)
- **Enumerated:** November 14, 2013
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 6002006-15 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 5433 W FOND DU LAC AVE, Milwaukee, WI 53216-1382
- **Phone:** (414) 277-8900
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Detroit Central City Community Mental Health, Inc (NPI 1447271788, Detroit, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104256015) · Data from the CMS NPPES public registry.