Bryan Iksu Shin, DDS
NPI 1023592490ActiveIndividual· Dentist, General Practice· Everett, WA
Dentist, General Practice (DDS) in Everett, Washington, licensed in WA and OH, with an NPI issued in September 2018. Part D covered 83 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1023592490 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Sep 20, 2018 |
| Last updated in NPPES | Jun 22, 2022 |
| Certified by provider | Jun 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DE61103820 | WA |
| Dentist, General Practice | 1223G0001X | 30.025406 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 83 · 83 30-day fills |
|---|---|
| Patients | 49 |
| Total drug cost | $220.60 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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