Keion Nam Yoo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

109420 Issued in CA

Practice address

3761 Mall View Rd
Bakersfield, CA 93306-3048

Phone

(661) 495-5535

NPI assigned

Sep 13, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• H. Azad Dental Corporation

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1013695642
  NPD

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1316724198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E WISTARIA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910064674",
            "telephone_number": "707-339-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 MALL VIEW RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933063048",
            "telephone_number": "661-495-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "KEION",
        "middle_name": "NAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109420",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Yoh, RN
• Larry Paul Yokoyama, MD
• Timiiye Dawn Yomi, MBBS, MD
• Rowena Mary Yong, REGISTERED NURSE
• Chungjoon Yoo
• Sarah Yoo, PHARMD
• Tai P. Yoo, M.D., MSBA
• Chris Sung-Il Yoon, M.D.
• Hye Jin Yoon
• Janet Yoon

• Dentist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.