Individual provider Active NPI

Andrew Yoo, DDS

  • Dentist
  • Reno, NV
National Provider Identifier
1154239119
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8492 Issued in NV
Practice address
59 Damonte Ranch Pkwy Ste F
Reno, NV 89521-2989
Phone
(775) 851-2204
NPI assigned
Aug 31, 2026
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8492 NV Primary

Addresses

Primary practice location

59 Damonte Ranch Pkwy Ste F
Reno, NV 89521-2989

Mailing address

9200 Double R Blvd Unit 4091
Reno, NV 89521-9030
Phone (415) 867-2735

Other practice location 1

2855 N McCarran Blvd Ste 102
Sparks, NV 89431-1887
Phone (775) 341-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8492NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Callaway-Nelson Reno Modern Dentistry, PC Dentist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1154239119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 DOUBLE R BLVD UNIT 4091",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895219030",
            "telephone_number": "415-867-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 DAMONTE RANCH PKWY STE F",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212989",
            "telephone_number": "775-851-2204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 N McCarran Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894311887",
            "country_code": "US",
            "telephone_number": "775-341-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "8492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.