Jajung Yoon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4403 Issued in NM

Practice address

219 Courthouse Rd SE
Los Lunas, NM 87031-6811

Phone

(848) 565-5070

NPI assigned

Jun 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SB Dental LLC

  • Dental Clinic/Center
  • Los Lunas, NM
  • NPI 1376055574
  NPD Authorized official
• Napa Dental Management LLC

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1003300393
  NPD (past)
• Dental Dreams PLLC

  • General Practice Dentistry
  • Ypsilanti, MI
  • NPI 1124440391
  NPD (past)

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1265844807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 COURTHOUSE RD SE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316811",
            "telephone_number": "848-565-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 COURTHOUSE RD SE",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870316811",
            "telephone_number": "848-565-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JAJUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021257",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jyoon@dentistloslunas.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "219 Courthouse Rd SE",
            "city": "Los Lunas",
            "state": "NM",
            "country_code": "US",
            "postal_code": "870316811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beverly Ann Woodbury, LISW
• Robert Woodruff, D.C.
• Rita P Wooten, M.A., CCC-SLP
• Leandra Wright, LMT
• Jacquelyn Yoder-Soliz
• David Young, CSW
• Youth Health Associates, Inc.
• Vickie Diane Zamora, RN
• Anthony Zaragoza
• Sheena Danielle Zemke, RN

• General Practice Dentistry in Los Lunas, NM
• Providers in Los Lunas, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.