DR. DANIEL EDWARD SHIN DDS
NPI 1770716607
Dentist - Periodontics in Indianapolis, IN

Active since August 26, 2009PECOS Enrolled
1121 W MICHIGAN STREET, DS307B, INDIANAPOLIS, IN 46202(317) 278-3632(317) 274-2603 Get Directions Write a Review

NPPES record last updated: November 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 15, 2016, Nov 3, 2016 (2 updates tracked since 2016).

About Dr. Daniel Edward Shin Dds NPPES

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

DR. DANIEL EDWARD SHIN DDS (NPI 1770716607) is an individual periodontics provider in Indianapolis, Indiana, licensed in Indiana (12011064A) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Dentistry (2006).

NPPES Registry Identity

NPI1770716607
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DANIEL EDWARD SHINCredential: DDS
Location Address1121 W MICHIGAN STREET, DS307BIndianapolis, IN 46202-5186
Mailing Address1121 W Michigan Street, Ds307bIndianapolis, IN 46202-5186 · (317) 278-3632 · Fax (317) 274-2603
Fax(317) 274-2603
Sole ProprietorNo
Medical School CMSIndiana University School Of DentistryGraduated 2006
Enumeration DateAugust 26, 2009
Last NPPES UpdateNovember 15, 20162 updates tracked since enumeration
NPI 1770716607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses Licensed in IN · 12011064A Licensed in NY · 052940
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1121 W MICHIGAN STREET, Indianapolis, IN 46202

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)

Dr. Daniel Edward Shin Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971899105
PECOS Enrollment IDI20260225003602
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 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 8

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

Dentist
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Dentist (Prosthodontics)
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Dentist (General Practice)
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Dentist (Oral and Maxillofacial Pathology)
1121 W MICHIGAN STREET
INDIANAPOLIS, IN 46202
Dentist (General Practice)
1121 W MICHIGAN STREET, DS 307B
INDIANAPOLIS, IN 46202
Dentist
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202
Dentist (Pediatric Dentistry)
1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202

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 Daniel Shin's NPI number?

The NPI number for Daniel Shin is 1770716607. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Daniel Shin located?

Daniel Shin practices at 1121 W Michigan Street Ds307b, Indianapolis, IN 46202. The listed phone number is (317) 278-3632.

What is Daniel Shin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Daniel Shin enrolled in Medicare?

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

What insurance does Daniel Shin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Delta Dental of Indiana list Daniel 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 Daniel Shin was last updated on November 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.