Organization Active NPI

Tina H. Yoo, D.D.S., M.S., Inc.

  • General Practice Dentistry
  • Burlingame, CA
National Provider Identifier
1346046612
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TINA H. YOO, D.D.S., M.S., INC.
Practice address
1828 El Camino Real Ste 803
Burlingame, CA 94010-3124
Phone
(650) 697-1711
Fax
(650) 697-4205
NPI assigned
Feb 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Dr. Tina H Yoo, DDSNPI 1548553118
Title
President/Ceo
Phone
(650) 219-5745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1828 El Camino Real Ste 803
Burlingame, CA 94010-3124

Mailing address

1828 El Camino Real Ste 803
Burlingame, CA 94010-3124
Phone (650) 697-1711

Other names 1

  • Serenity Dental & Orofacial Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1828 El Camino Real
Ste 803
Burlingame, CA 94010
Phone (650) 692-2131

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1346046612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL STE 803",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103124",
            "telephone_number": "650-697-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 EL CAMINO REAL STE 803",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103124",
            "telephone_number": "650-697-1711",
            "fax_number": "650-697-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA H. YOO, D.D.S., M.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "650-219-5745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Dental & Orofacial Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.