Individual provider Active NPI

Yun Hee Jo, DDS

  • Dentist
  • Bellevue, WA
National Provider Identifier
1215165931
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE 60041814 Issued in WA
Practice address
1050 140TH Ave NE
Bellevue, WA 98005-2972
Phone
(425) 373-3031
NPI assigned
Jul 1, 2009
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE 60041814 WA Primary

Addresses

Primary practice location

1050 140TH Ave NE
Bellevue, WA 98005-2972

Mailing address

1050 140TH Ave NE
Bellevue, WA 98005-2972
Phone (425) 373-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422002078 WA Order and Referring Only - DentistPractitioner - Dentist 7810296993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE 60041814WAMDDentist

Interoperability endpoints

  • Direct secure messaging: yjo289540@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1215165931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 140TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052972",
            "telephone_number": "425-373-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 140TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052972",
            "telephone_number": "425-373-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JO",
        "first_name": "YUN HEE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60041814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.