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BRYAN WONTAEK SHIN
NPI 1689362204
Dentist - Pediatric Dentistry in Fishers, IN

Active since May 01, 2023
13760 LAKERIDGE DR, FISHERS, IN 46037(317) 588-2575 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan Wontaek Shin NPPES

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

BRYAN WONTAEK SHIN (NPI 1689362204) is an individual pediatric dentistry provider in Fishers, Indiana, licensed in Indiana (12014784A) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1689362204
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameBRYAN WONTAEK SHIN
Location Address13760 LAKERIDGE DRFishers, IN 46037-7608
Mailing Address9723 Northfork DrBrentwood, TN 37027-8334 · (615) 707-0330
Phone(317) 588-2575
Sole ProprietorNo
Enumeration DateMay 1, 2023
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1689362204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IN · 12014784A
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
13760 LAKERIDGE DR, Fishers, IN 46037
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Indiana.Insurance ›

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.

NOOR AL SHALTONI DDS
Dentist (Pediatric Dentistry)
13760 LAKERIDGE DR
FISHERS, IN 46037
Hamilton County (317) 588-2575
DR. STEPHANIE KIM-ALBADAWI D.M.D., M.S.D.
Dentist (Pediatric Dentistry)
13760 LAKERIDGE DR
FISHERS, IN 46037
Hamilton County (317) 588-2575
YEPES DDS LLC
Dentist (Pediatric Dentistry)
13760 LAKERIDGE DR
FISHERS, IN 46037
Hamilton County (317) 597-0184

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 Bryan Shin's NPI number?

The NPI number for Bryan Shin is 1689362204. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Bryan Shin located?

Bryan Shin practices at 13760 Lakeridge Dr, Fishers, IN 46037. The listed phone number is (317) 588-2575.

What is Bryan Shin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Bryan Shin accept?

Health plans from Delta Dental of Indiana list Bryan 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 Bryan Shin was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.