Active NPI
Anne Jiyoung Yoon, DDS, MS ORTHODONTICS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dublin, CA
National Provider Identifier
1477700011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 55081
- Practice address
- 6851 Amador Plaza Rd
(925) 560-9968
Dublin, CA 94568-2940 - Phone
- (925) 560-9968
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 55081 | CA | Primary |
Addresses
Primary practice location
6851 Amador Plaza Rd
(925) 560-9968
Dublin, CA 94568-2940
Mailing address
3199 Clay St Apt 5
San Francisco, CA 94115-1650
Phone (310) 963-7087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150819009598 | CA | Order and Referring Only - Dentist | 7315252392 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55081 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1477700011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3199 CLAY ST APT 5",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151650",
"telephone_number": "310-963-7087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6851 AMADOR PLAZA RD",
"address_2": "(925) 560-9968",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945682940",
"telephone_number": "925-560-9968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "ANNE",
"middle_name": "JIYOUNG",
"name_prefix": "Ms.",
"credential": "DDS, MS ORTHODONTICS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "55081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.