Yun U Song, DDS.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

53357 Issued in CA

Practice address

4670 Barranca Pkwy
Irvine, CA 92604-4731

Phone

(949) 653-8469

Fax

(949) 653-8466

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yun Song D.D.S Professional Dental Corporation

  • Pediatric Dentistry
  • Irvine, CA
  • NPI 1538701057
  NPD (past) Authorized official
• David Lee, DMD Inc.

  • Pediatric Dentistry
  • Irvine, CA
  • NPI 1265189740
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023137387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 DEWDROP",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926031604",
            "telephone_number": "949-653-8369",
            "fax_number": "949-653-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044731",
            "telephone_number": "949-653-8469",
            "fax_number": "949-653-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "YUN",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "DDS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ci Song
• Ellen Teresa Song, M.D.
• Hongwoo Song, DO
• Kyle Robert Song, MD
• Seon Song
• Harveen Soni
• Preeti Soni, RD, CDCES
• Kristin Ashley Sonksen
• Sonny S. Wang, M.D. Colon and Rectal Surgery, Inc.
• Sonus-USA, Inc.

• Pediatric Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.