Tae Rim Yoon, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60156209 Issued in WA

Practice address

20806 Bothell Everett Highway
Suite 107
Bothell, WA 98021

Phone

(425) 286-2078

Fax

(425) 408-1659

NPI assigned

Sep 21, 2009

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.

• Tae Rim Yoon DMD PLLC

  • Dental Clinic/Center
  • Bothell, WA
  • NPI 1306284468
  NPD (past) Authorized official

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1124352380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20806 BOTHELL EVERETT HIGHWAY",
            "address_2": "SUITE 107",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98021",
            "telephone_number": "425-286-2078",
            "fax_number": "425-408-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20806 BOTHELL EVERETT HIGHWAY",
            "address_2": "SUITE 107",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98021",
            "telephone_number": "425-286-2078",
            "fax_number": "425-408-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "TAE RIM",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60156209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yakov Yezhevsky
• Kirsten Yoder, RN
• Anzu Yonezawa
• Yoo-Lee Yea DDS PLLC
• Sung Wook Yoon, D.D.S.
• Wendy York, M.ED., BCBA
• Ashley Yost, M.S. OTR/L
• Anne Marie Young, ARNP
• Bronson Young, L.M.P.
• Angela Christine Younggren, MS LAC

• Pediatric Dentistry in Bothell, WA
• Providers in Bothell, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.