Lewina Yeaseul Youn, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE 60634529 Issued in WA

Practice address

15808 Mill Creek Blvd
202
Mill Creek, WA 98012-1500

Phone

(425) 318-4787

NPI assigned

Jun 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Yeaseul Kim Youn Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• MC Endodontics

  • Endodontics
  • Everett, WA
  • NPI 1376235663
  NPD Authorized official
• MC Endodontics

  • Endodontics
  • Mill Creek, WA
  • NPI 1457285827
  NPD Authorized official
• Shin & Youn Professional Services

  • Endodontics
  • Woodinville, WA
  • NPI 1659246452
  NPD Authorized official

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1417219155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15808 MILL CREEK BLVD",
            "address_2": "202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-318-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15808 MILL CREEK BLVD",
            "address_2": "202",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121500",
            "telephone_number": "425-318-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUN",
        "first_name": "LEWINA",
        "middle_name": "YEASEUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE 60634529",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "61378",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEASEUL",
            "last_name": "YOUN",
            "middle_name": "KIM",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara Marie Yarte, M.S.
• John J Yi, D.C.
• Virginia Yip, M.D.
• Ji Won Yoon, DDS
• Kyungah Yoon
• Carrie Young, BSN, RN, CRRN
• Gwyneth A Young, L.M.P.
• Michael Young, DC
• Sydney Young, LMHCA
• Gina Sue Yuasa, OTR/L, CHT

• Endodontics in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.