Jun Soo Yoon

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

063930-01 Issued in NY

Practice address

3209 82ND St FL 1
East Elmhurst, NY 11370-2003

Phone

(718) 898-0600

NPI assigned

Apr 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Healthy Smiles Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1144889924
  NPD (past)

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1295479434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 82ND ST FL 1",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113702003",
            "telephone_number": "718-898-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7911 41st Ave Apt A107",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113731217",
            "country_code": "US",
            "telephone_number": "718-205-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 E New York Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112254477",
            "country_code": "US",
            "telephone_number": "718-606-9603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "JUN SOO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "063930-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Yanelli, D.P.T.
• Haajar Yanes
• Tsering Yangkyi, AGPCNP
• Erica Yauri Quizhpi
• Tenzin Yintok, RN
• York Home Care
• Young Adult Institute, Inc.
• Katherine Caroleen Tapia Zamparas
• Sara Elaine Zarem, PH.D
• Doris Zelaya, MA

• Pediatric Dentistry in East Elmhurst, NY
• Providers in East Elmhurst, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.