Organization Active NPI

Anthony Y. Yoon, DDS, PA

Doing business as Cowtown Dental

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1023350188
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20948 Issued in TX
Legal business name
ANTHONY Y. YOON, DDS, PA
Doing business as
Cowtown Dental
Practice address
2717 8TH Ave
Fort Worth, TX 76110-3041
Phone
(817) 924-7670
Fax
(817) 924-7646
NPI assigned
Mar 26, 2013
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Anthony Yoon, DDSNPI 1730305772
Title
Dentist
Phone
(817) 924-7646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20948 TX Primary

Addresses

Primary practice location

2717 8TH Ave
Fort Worth, TX 76110-3041

Mailing address

2717 8TH Ave
Fort Worth, TX 76110-3041
Phone (817) 924-7670

Other names 1

  • Cowtown Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1023350188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103041",
            "telephone_number": "817-924-7670",
            "fax_number": "817-924-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761103041",
            "telephone_number": "817-924-7670",
            "fax_number": "817-924-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY Y. YOON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-924-7646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cowtown Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.