Hae Y Yoon, DDS

Primary specialty

DentistTaxonomy code 122300000X

Practice address

1819 Church St
Evanston, IL 60201-3415

Phone

(847) 866-7430

Fax

(847) 866-7432

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Heather Yoon DDS, PC

  • Dentist
  • Evanston, IL
  • NPI 1760786941
  NPD (past) Authorized official
• Premier Dental Care Illinois Inc

  • Dental Clinic/Center
  • Evanston, IL
  • NPI 1255985669
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265501324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013415",
            "telephone_number": "847-866-7430",
            "fax_number": "847-866-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013415",
            "telephone_number": "847-866-7430",
            "fax_number": "847-866-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "HAE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9175784",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samia Lucinda Yesufu
• Doris Lai Ming Yip, M.D.
• Melanie Nicole Yochim, D.O.
• Amy Yoo, PHARMD
• Sangmin Yoo
• Jennifer Suzanne York
• Pauline A Yoseph, D,D,S
• Whitney B You, M.D.
• Anitra Zoe Young, RBT
• Antonia Marie Young

• Dentist in Evanston, IL
• Providers in Evanston, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.