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

Q: 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.

Q: What is Daniel Shin's specialty?

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

Q: 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.

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: October 18, 2026.

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

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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

Phone(317) 278-3632

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Delta Dental PPO, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Utah Dental Services

1,355 mi

Dental

530 S WAKARA WAY
Salt Lake City, UT 84108

Reassigned Medicare billing, Utah enrollment
20 clinicians in this Medicare group

NPI 1821446279 (801) 587-6453

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 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.

DR. THOMAS G BARRICK DDS

Dentist

1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202

Marion County (317) 896-5143

JEANNIE M VICKERY DDS

Dentist (Prosthodontics)

1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202

Marion County (317) 278-3632

DR. BROOKE N ADAMS DDS

Dentist

1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202

Marion County (615) 373-8001

DR. LARRY A CRISAFULLI DDS

Dentist (General Practice)

1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202

Marion County (317) 278-3632

DR. PAUL C. EDWARDS DDS

Dentist (Oral and Maxillofacial Pathology)

1121 W MICHIGAN STREET
INDIANAPOLIS, IN 46202

Marion County (317) 274-5628

DR. DANIEL S BENNETT DDS

Dentist (General Practice)

1121 W MICHIGAN STREET, DS 307B
INDIANAPOLIS, IN 46202

Marion County (317) 278-3632

ESPERANZA MARTINEZ MIER DDS, MSD, PHD

Dentist

1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202

Marion County (317) 278-3632

CRAIG T MUELLER DDS

Dentist (Pediatric Dentistry)

1121 W MICHIGAN STREET, DS307B
INDIANAPOLIS, IN 46202

Marion County (317) 278-3632

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.

Which organization bills Medicare for Daniel Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Shin reassigns Medicare benefits to University Of Utah Dental Services (Salt Lake City, UT). 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 Daniel Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Shin accept?

Health plans from BridgeSpan Health Company, Delta Dental PPO and Regence BlueCross BlueShield of Utah 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.