Paul C Yoon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011054 Issued in AZ

Practice address

8160 S Houghton Rd Ste 130
Tucson, AZ 85747-9720

Phone

(520) 663-4789

Fax

(520) 664-9930

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Lamar Dental Associates

  • Dentist
  • Lamar, CO
  • NPI 1285895698
  NPD (past) Authorized official
• Rita Ranch Dental Group, LLP

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1386871564
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1174610455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 5TH ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810522708",
            "telephone_number": "719-336-9023",
            "fax_number": "719-336-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 S HOUGHTON RD STE 130",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857479720",
            "telephone_number": "520-663-4789",
            "fax_number": "520-664-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "5441",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67131328",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "paul.yoon@pacden.com",
            "affiliation": "N",
            "address_1": "8160 S Houghton Rd Ste 130",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857479720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Karla Ynosencio, M.D.
• Tyler Keith Yocum, PA-C
• Jada Kaitlin Yokeley, NP
• Yone Ponce
• Jonathan Yoon
• Autumn Yopp
• Lawrence York York, PHARM.D.
• Patricia A York, LPC
• William York
• Anne A Yoshino, MD

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.