Active NPI
Diana Yun
- Dentist
- Shoreline, WA
National Provider Identifier
1538615992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61169727
- Practice address
- 16549 Aurora Ave N
Shoreline, WA 98133-5308 - Phone
- (206) 533-2660
- Fax
- (206) 652-5216
- NPI assigned
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN03303 | RI | |
| Dentist | 122300000X | DE61169727 | WA | Primary |
Addresses
Primary practice location
16549 Aurora Ave N
Shoreline, WA 98133-5308
Mailing address
PO Box 3007
Seattle, WA 98114-3007
Phone (206) 788-3700
Other practice location 1
720 8th Ave S
Seattle, WA 98104-3032
Phone (206) 788-3757
Other practice location 2
335R Prairie Avenue
Providence, RI 02905
Phone (401) 444-0430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN03303 | RI | MD | Dentist |
| DE61169727 | WA | MD | Dentist |
Interoperability endpoints
- dyun2025646@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1538615992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3007",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981143007",
"telephone_number": "206-788-3700",
"fax_number": "206-652-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16549 AURORA AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981335308",
"telephone_number": "206-533-2660",
"fax_number": "206-652-5216"
}
],
"practiceLocations": [
{
"address_1": "720 8th Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043032",
"country_code": "US",
"telephone_number": "206-788-3757",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "335R Prairie Avenue",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "02905",
"country_code": "US",
"telephone_number": "401-444-0430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUN",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "DEN03303",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61169727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.