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

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 and National Provider Directory roles.

• Yoon Seon, DDS, P.C

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

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

  • 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.