NPIMap

Organization Active NPI

Young Jeremiah Yoon, DMD,RPH, PC

  • Dentist
  • University Place, WA
National Provider Identifier
1215235270
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60128169 Issued in WA
Legal business name
YOUNG JEREMIAH YOON, DMD,RPH, PC
Practice address
4113 Bridgeport Way W
Suite a
University Place, WA 98466-4325
Phone
(253) 564-6341
NPI assigned
Feb 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Authorized official

Name
Young J Yoon, DMD
Title
President
Phone
(206) 799-3351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 60128169 WA Primary

Addresses

Primary practice location

4113 Bridgeport Way W
Suite a
University Place, WA 98466-4325

Mailing address

4113 Bridgeport Way W
Suite a
University Place, WA 98466-4325
Phone (253) 564-6341

National Provider Directory

National Provider Directory

Locations

4113 Bridgeport Way W
Ste A
University Place, WA 98466
Phone (253) 564-6341

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298851200000",
    "number": "1215235270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 BRIDGEPORT WAY W",
            "address_2": "SUITE A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664325",
            "telephone_number": "253-564-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 BRIDGEPORT WAY W",
            "address_2": "SUITE A",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664325",
            "telephone_number": "253-564-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG JEREMIAH YOON, DMD,RPH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-799-3351",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "60128169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.