Elizabeth Yoon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

105283 Issued in CA

Practice address

956 Walnut St Ste 300
San Luis Obispo, CA 93401-1708

Phone

(805) 544-1941

NPI assigned

Aug 14, 2020

Sex

Female

Sole proprietor

Yes

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.

• Ron Brunick DDS,Inc.

  • General Practice Dentistry
  • San Luis Obispo, CA
  • NPI 1659499481
  NPD (past)

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1427669142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 TREVECCA PL",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111405",
            "telephone_number": "909-786-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 WALNUT ST STE 300",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934011708",
            "telephone_number": "805-544-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Francis Yankovich
• Anna Krystyna Yeackle, MA
• David J Yeh, MMD
• Mark Yellen
• Helen Yeo
• Vasil Krasimirov Yordanov
• Eunha You, DDS
• Allison Young
• Kristin Youngberg
• Susan Youngdale, SLP-M.A.

• General Practice Dentistry in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.