Carol K Yun, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

17123 Issued in MA

Practice address

126 Inman St
Cambridge, MA 02139

Phone

(617) 492-8210

Fax

(617) 876-7390

NPI assigned

Dec 14, 2006

Sex

Female

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.

• Cambridge Dental Annex

  • Dental Clinic/Center
  • Cambridge, MA
  • NPI 1033363395
  NPD (past) Authorized official
• Jieun Cha PC

  • Dentist
  • Cambridge, MA
  • NPI 1801476403
  NPD (past)
• Jieun Cha PC

  • General Practice Dentistry
  • Cambridge, MA
  • NPI 1871171694
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1366504672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 MASSACHUSETTS AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393045",
            "telephone_number": "617-871-1482",
            "fax_number": "617-871-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 INMAN ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-492-8210",
            "fax_number": "617-876-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "CAROL",
        "middle_name": "K",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "17123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hong Yu, M.D., PHD
• Minjia Yu
• Shirley J Yu, PHARMD
• Liqun Yuan
• Ye Yuan
• Aisha Saeedi Yusufzai
• Ilyse Anne Zable, PSYD
• Jillian Zablonski, PHARMD
• Eduardo Yosi Zaidner, M.D.
• Tauheed Zaman

• Dentist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.