Individual provider Active NPI

Thomas Yoon, DMD

  • General Practice Dentistry
  • Gaithersburg, MD
National Provider Identifier
1578832739
Registry record updated Oct 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15075 Issued in MD
Practice address
20219 Goshen Rd
Gaithersburg, MD 20879
Phone
(240) 477-5921
NPI assigned
Dec 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15075 MD Primary

Addresses

Primary practice location

20219 Goshen Rd
Gaithersburg, MD 20879

Mailing address

20219 Goshen Rd
Gaithersburg, MD 20879-4000
Phone (240) 477-5921

Other practice location 1

832 N Rolling Rd
Catonsville, MD 21228-4136
Phone (410) 744-7777

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

LicenseStateTypeSpecialty
15075MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Yoon DMD PC CurrentSince Jun 28, 2020 Accepting new patients
Dharani Jasthi DMD PC General Practice Past Accepting new patients

Locations

20219 Goshen Rd
Gaithersburg, MD 20879
Phone (240) 477-5921

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1324080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1578832739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20219 GOSHEN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208794000",
            "telephone_number": "240-477-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20219 GOSHEN RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20879",
            "telephone_number": "240-477-5921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "832 N Rolling Rd",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "212284136",
            "country_code": "US",
            "telephone_number": "410-744-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-17",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.