Active NPI
Roy Hyunchang Yoo, D.M.D.
- Periodontics
- Cypress, CA
National Provider Identifier
1205018918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 53303
- Practice address
- 9242 Walker St Ste C
Cypress, CA 90630-3169 - Phone
- (714) 220-2003
- Fax
- (714) 220-2004
- NPI assigned
- Dec 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 53303 | CA | Primary |
Addresses
Primary practice location
9242 Walker St Ste C
Cypress, CA 90630-3169
Mailing address
9242 Walker St Ste C
Cypress, CA 90630-3169
Phone (714) 220-2003
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1205018918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9242 WALKER ST STE C",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303169",
"telephone_number": "714-220-2003",
"fax_number": "714-220-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9242 WALKER ST STE C",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303169",
"telephone_number": "714-220-2003",
"fax_number": "714-220-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "ROY",
"middle_name": "HYUNCHANG",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "53303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.