Tae Rim Yoon DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DE60156209 Issued in WA

Legal business name

TAE RIM YOON DMD PLLC

Practice address

20806 Bothell Everett Hwy
Suite 107
Bothell, WA 98021-8417

Phone

(425) 286-2078

Fax

(425) 408-1659

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tae Rim Yoon, D.M.DNPI 1124352380

Title

Dentist

Phone

(601) 894-3493

Specialties & licenses 1

Addresses

Other names 1

• Bothell Everett Kids Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tae Rim Yoon, DMD

  • Pediatric Dentistry
  • Bothell, WA
  • NPI 1124352380
  NPD (past) Authorized official

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1306284468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20806 BOTHELL EVERETT HWY",
            "address_2": "SUITE 107",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218417",
            "telephone_number": "425-286-2078",
            "fax_number": "425-408-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20806 BOTHELL EVERETT HWY",
            "address_2": "SUITE 107",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218417",
            "telephone_number": "425-286-2078",
            "fax_number": "425-408-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAE RIM YOON DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "TAE RIM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-894-3493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60156209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bothell Everett Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryam Tabarestani, DDS
• Emily C Tabet, MA, CCC-SLP
• Gayle Tachell, MA LMHCA
• Asmah Tadmori, PA
• Christina Ann Tadvick, BEHAVIOR TECHNICIAN
• Tera Tagliabue, DPT
• Yumi Takamura, LMP
• Allan Takpuie, R.N.
• Yanmin Tan, LAC, LMP,
• James Tanksley

• Dental Clinic/Center in Bothell, WA
• Providers in Bothell, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.