Ah Reum Yoo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2901601646 Issued in MI

Practice address

3670 Woodward Ave Ste 101B
Detroit, MI 48201-2456

Phone

(313) 202-9398

NPI assigned

Aug 13, 2021

Sex

Female

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

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.

• Southern Nevada Specialty Prada, PLLC

  • Pediatric Dentistry
  • Las Vegas, NV
  • NPI 1275998270
  NPD (past)

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1346915196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 FAULKNER",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835459",
            "telephone_number": "714-800-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 WOODWARD AVE STE 101B",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012456",
            "telephone_number": "313-202-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "AH REUM",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7502",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanar S Yokhana, M.D.
• Mari Yokoyama, LMSW
• Kathreen Zuhair Yonan
• Claire Yonkus, PT, DPT
• Keira Yono, CRNA
• Daeun Yoo, MD
• George H Yoo, MD
• Maria Yoo, LMSW
• Alison Yoon, DDS
• Soo Hun Yoon, D.O., PH.D.

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.