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Evan Hocheul Shin, DDS

NPI 1477395523ActiveIndividual· Dentist· Rockford, IL

Dentist (DDS) in Rockford, Illinois, licensed in IL and IN, with an NPI issued in June 2024. Ultradent Products Inc reported $257.04 in payments in 2024, mostly gifts.

Overview

NPI1477395523
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorNo
NPI issuedJun 10, 2024
Last updated in NPPESJul 6, 2026
Certified by providerJul 6, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X019.035464IL
Dentist122300000X12014482AIN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

  • 2024$257.04 · 1 payment from 1 company

Top paying companies in 2024

CompanyAmountPayments
Ultradent Products Inc$257.041

What the 2024 payments were for

  • Gift$257.04 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other dentists in Rockford

All 95 dentists in Rockford · All dentists in Illinois