Organization Active NPI

Sang H. Yoon DDS, Inc

  • General Practice Dentistry
  • Barstow, CA
National Provider Identifier
1114126208
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48571 Issued in CA
Legal business name
SANG H. YOON DDS, INC
Practice address
912 E Main St
Barstow, CA 92311-2406
Phone
(760) 255-1206
NPI assigned
Jul 17, 2007
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Sang Yoon
Title
President
Phone
(760) 255-1206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48571 CA Primary

Addresses

Primary practice location

912 E Main St
Barstow, CA 92311-2406

Mailing address

912 E Main St
Barstow, CA 92311-2406

Other identifiers 1

IdentifierTypeStateIssuer
48571OtherCAMEDICAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1114126208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112406",
            "telephone_number": "760-255-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANG H. YOON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "SANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-255-1206"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "48571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.