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Deactivated NPI 1942980131 Deactivated / Inactive NPI Female Practitioner

Dr. Heajeon Shin , DDS

Dentist • Chicopee, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Heajeon Shin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 21, 2023
NPI Deactivation Date February 28, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Heajeon Shin, DDS was a registered Dentist practicing in Chicopee, MA. Throughout an active medical career spanning 1 years, Dr. Shin provided care at the practice location at 415 EAST ST until profile deactivation on 2024-02-28.

Practice Location & Contact Primary Location

Practice Address

415 East St

Chicopee, MA 010204181

Telephone 4134190100

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chicopee, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Chicopee, MA (3030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-15
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA DN10000436

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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Updated Practice Location August 21, 2024

Registered at 415 EAST ST, CHICOPEE, MA 010204181 (Tel: 4134190100)

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Updated Business Mailing Address August 21, 2024

Registered at 415 EAST ST, CHICOPEE, MA 010204181 (Tel: 4134190100)

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Dentist (License #DN10000436 in MA)

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Updated Practice Location July 12, 2024

Registered at 345 E 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Updated Business Mailing Address July 12, 2024

Registered at 345 E 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Provider Name / Credentials Updated July 12, 2024

Recorded as HEAJEON SHIN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2024

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated February 28, 2024

Record deactivated on February 28, 2024

NPI Profile Active July 21, 2023

NPI status registered as active in NPPES database

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Updated Practice Location July 21, 2023

Registered at 345 E 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Updated Business Mailing Address July 21, 2023

Registered at 345 E 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Provider Name / Credentials Updated July 21, 2023

Recorded as HEAJEON SHIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration July 21, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942980131
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2023
Last Update: August 21, 2024
Deactivation Date: February 28, 2024
Sole Proprietor: No

Mailing Address

415 East St

Chicopee, MA 010204181

Phone: 4134190100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.