Doctor profile · Federal record

Dr. Jae Shim, DDS

General Practice Dentistry · Waukegan, IL

  • NPI 1669504221
  • 19 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1800 Grand Ave
Waukegan, IL 600853582
(847) 336-4180
fax (847) 336-4190

Credentials & registration

NPPES · NUCC
NPI registered
March 2007 — 19 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
1223G0001X — NUCC code
Medicaid
IL #1004816

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1669504221. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$264
Transactions
6
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Zimvie INC. 5 $250.00
Straumann USA LLC 1 $14.42

By nature of payment

Education
$250
Food and Beverage
$14

Frequently asked questions

Auto-generated from federal data
What is Dr. Jae Shim's medical specialty?
Dr. Jae Shim practices General Practice Dentistry in Waukegan, IL.
Where does Dr. Jae Shim practice?
Dr. Jae Shim practices at 1800 Grand Ave, Waukegan, IL 600853582. Office phone: 8473364180.
What is Dr. Jae Shim's NPI?
Dr. Jae Shim's National Provider Identifier (NPI) is 1669504221, issued by NPPES.

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated Jul 12, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›