Yoon Ji Seon

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

061682 Issued in NY

Practice address

510 E 80TH St Ofc 2
New York, NY 10075-0719

Phone

(646) 536-5088

NPI assigned

Jun 25, 2018

Last updated

Sep 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yoon Seon, DDS, P.C

  dba Malone Family Dentistry

  • Dental Clinic/Center
  • Malone, NY
  • NPI 1164226031
  NPD Authorized official
• Wanho Lew DDS PLLC

  dba Line Dental

  • Dental Clinic/Center
  • New York, NY
  • NPI 1215623277
  NPD
• MJR Dental Services LLC

  dba LAVAAN Dental Spa

  • Dentist
  • New York, NY
  • NPI 1962348771
  NPD (past)

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1578058376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E 80TH ST OFC 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750719",
            "telephone_number": "646-536-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E 80TH ST OFC 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750719",
            "telephone_number": "646-536-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEON",
        "first_name": "YOON JI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Seo, MD
• Ruth Seok, PA-C
• Yu-NA Seol, PHYSICAL THERAPIST
• Amy Seon, O.D
• Susan Seon
• Ashley Seong
• Brenda Sharon Seorti, R.N.
• Judy Seoud, LMHC
• Seoul Acupuncture, PC
• Seoul Healing & Herbs Inc

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.

Verify at the official NPI Registry.