Organization Active NPI

Jong Uk Yook

Doing business as Village One Dental

  • Dentist
  • Modesto, CA
National Provider Identifier
1447659610
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49434 Issued in CA
Legal business name
JONG UK YOOK
Doing business as
Village One Dental
Practice address
3020 Floyd Ave Ste 609
Modesto, CA 95355-9802
Phone
(209) 551-1414
NPI assigned
Aug 14, 2014
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dr. Jong Uk Yook, D.D.S.NPI 1255427522
Title
Owner
Phone
(209) 373-6537

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
Dentist 122300000X 49434 CA Primary

Addresses

Primary practice location

3020 Floyd Ave Ste 609
Modesto, CA 95355-9802

Mailing address

3020 Floyd Ave Ste 609
Modesto, CA 95355-9802
Phone (209) 551-1414

Other names 1

  • Village One Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3020 Floyd Ave
Ste 609
Modesto, CA 95355
Phone (209) 551-1414

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1447659610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 FLOYD AVE STE 609",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559802",
            "telephone_number": "209-551-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 FLOYD AVE STE 609",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559802",
            "telephone_number": "209-551-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG UK YOOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "YOOK",
        "authorized_official_first_name": "JONG",
        "authorized_official_middle_name": "UK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-373-6537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village One Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.