Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124277256 Individual Practitioner Male Practitioner

Dr. Soon Y Shim , DDS

Dentist - General Practice • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Dr. Soon Shim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Flushing, NY. Practice services are available at 4500 PARSONS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 Parsons Blvd

Flushing, NY 113552205

Telephone 7186705521
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
187 Specialists

Practicing in Flushing, NY (8411 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 57694

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Ji Park , DDS

Dentist - General Practice

NPI 1174913073

Doctor of Dental Surgery

Dr. Belen Velastegui-Carey , DDS

Dentist - General Practice

NPI 1467808907

Doctor of Dental Surgery

Ruojun Huang

Student in an Organized Health Care Education/Training Program

NPI 1598058539
Dr. Yu Hui Jenny Weng , DDS

Student in an Organized Health Care Education/Training Program

NPI 1831482843

Doctor of Dental Surgery

Junwoo Bae

Dentist

NPI 1992189773

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 15, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2008

Registered at 4500 PARSONS BLVD, FLUSHING, NY 113552205 (Tel: 7186705521)

📍
Updated Business Mailing Address October 15, 2008

Registered at 410 HAUSER BLVD APT 8G, LOS ANGELES, CA 900365549 (Tel: 2014862930)

👤
Provider Name / Credentials Updated October 15, 2008

Recorded as SOON SHIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2008

Dentist (License #57694 in CA)

🟢
Initial NPI Registration & Enumeration September 12, 2008

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: 1124277256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2008
Last Update: June 28, 2026
Sole Proprietor: No

Mailing Address

410 Hauser Blvd Apt 8g

Los Angeles, CA 900365549

Phone: 2014862930

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.