Active NPI
Sang Hun Yoon, DDS
- General Practice Dentistry
- Chattanooga, TN
National Provider Identifier
1154483592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10593
- Practice address
- 4610 Brainerd Rd Ste 2
Chattanooga, TN 37411-3835 - Phone
- (423) 622-6552
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48571 | CA | |
| General Practice Dentistry | 1223G0001X | 10593 | TN | Primary |
Addresses
Primary practice location
4610 Brainerd Rd Ste 2
Chattanooga, TN 37411-3835
Mailing address
4610 Brainerd Rd Ste 2
Chattanooga, TN 37411-3835
Phone (423) 622-6552
Other practice location 1
912 E Main St
Barstow, CA 92311-2406
Phone (760) 255-1206
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
| License | State | Type | Specialty |
|---|---|---|---|
| 48571 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1154483592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 BRAINERD RD STE 2",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374113835",
"telephone_number": "423-622-6552",
"fax_number": "423-622-6510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 BRAINERD RD STE 2",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374113835",
"telephone_number": "423-622-6552"
}
],
"practiceLocations": [
{
"address_1": "912 E Main St",
"address_purpose": "LOCATION",
"city": "Barstow",
"state": "CA",
"postal_code": "923112406",
"country_code": "US",
"telephone_number": "760-255-1206",
"fax_number": "760-256-2287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOON",
"first_name": "SANG",
"middle_name": "HUN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48571",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "10593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.