Individual provider

Young Shin, DDS

General Practice Dentistry Medicare enrolled

Young Shin, DDS is a provider specialising in General Practice Dentistry in Detroit, MI, registered under NPI 1104256015.

Getting there

The practice address on file is 10201 E JEFFERSON AVE, Detroit, MI 48214. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10201 E JEFFERSON AVE, Detroit, MI 48214 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
019029678 IL General Practice Dentistry primary

This provider holds licence 019029678 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dentist
PAC ID
1254676356

Medicare enrolment is recorded as approved under the provider type Practitioner - Dentist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104256015 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 14, 2013
Last updatedFeb 10, 2025
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 10201 E JEFFERSON AVE
Detroit, MI 48214
(312) 590-5868
Mailing address 303 ANDREWS DR
Belvidere, IL 61008
This record was updated on Feb 10, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104256015 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 2 5 6 0 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 4 5 3 0 2

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104256015?
NPI 1104256015 is the National Provider Identifier assigned to Young Shin, DDS in Detroit, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
How do I contact Young Shin, DDS?
The phone number on file with NPPES is (312) 590-5868, last updated Feb 10, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Young Shin, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104256015 a valid number?
Yes. 1104256015 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.