Active NPI
Ji Young Yoon, DMD
- Dentist
- Mount Pleasant, WI
National Provider Identifier
1558047175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6001227
- Practice address
- 1320 S Green Bay Rd
Mount Pleasant, WI 53406-4402 - Phone
- (262) 223-0280
- NPI assigned
- Jun 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6001227 | WI | Primary |
Addresses
Primary practice location
1320 S Green Bay Rd
Mount Pleasant, WI 53406-4402
Mailing address
28968 N Skycrest Dr
Mundelein, IL 60060-5303
Phone (847) 877-5890
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 |
|---|---|---|---|
| 6001227 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1558047175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28968 N SKYCREST DR",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600605303",
"telephone_number": "847-877-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 S GREEN BAY RD",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534064402",
"telephone_number": "262-223-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "JI YOUNG",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6001227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.