Jong Ho Yoon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103210 Issued in CA

Practice address

1245 N Lake Ave
Pasadena, CA 91104-2855

Phone

(415) 713-0434

NPI assigned

Jul 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yoon & Lim PLLC

  • Dentist
  • Blaine, WA
  • NPI 1689390908
  NPD Authorized official
• Gagan S. Sandhu, DDS, PLLC

  • Dental Clinic/Center
  • Blaine, WA
  • NPI 1669153649
  NPD

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1043628506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WINNETT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042855",
            "telephone_number": "415-713-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "432 H St",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "WA",
            "postal_code": "982304110",
            "country_code": "US",
            "telephone_number": "360-332-8737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "JONG",
        "middle_name": "HO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.029972",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60636134",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estephany Yoncee, MA
• Adam Wong Yonemura
• Sam Yoo
• Wesley Yoo
• Christine Miyoung Yoon Hammer, PHD, LMFT
• Scott Yoon, AMFT
• Hillary Yoseph
• Audra Yoshimura, O.D.
• Kari Kim Yoshimura, PH.D.
• Yoshio J Furuya Maccca Aud Corp

• Dentist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.