Kyungsup Shin, DMD
NPI 1023446853 · Orthodontics and Dentofacial Orthopedics Dentistry · Iowa City, IA
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kyungsup Shin, DMD is a Orthodontics and Dentofacial Orthopedics Dentistry provider in Iowa City, IA (NPI 1023446853).
Provider details
- NPI number
- 1023446853
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 40155 (IA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-10-14
- Last updated
- 2015-08-14
Frequently asked questions
- What is Kyungsup Shin's NPI number?
- Kyungsup Shin's National Provider Identifier (NPI) is 1023446853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kyungsup Shin's specialty?
- Kyungsup Shin is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry (Dental Providers).
- Where is Kyungsup Shin located?
- Kyungsup Shin's practice location on file with NPPES is 219 Dental Science Bldg S, Iowa City, IA 52242-1001.
- What is Kyungsup Shin's phone number?
- The practice phone number listed in the NPPES registry for Kyungsup Shin is (319) 335-7287.
- Does Kyungsup Shin accept Medicare?
- Kyungsup Shin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kyungsup Shin's NPI active?
- Yes — Kyungsup Shin's NPI (1023446853) is active in the NPPES registry as of the last update on 2015-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.