Individual provider Active NPI

Won Moon Yoon, D.D.S.,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pasadena, MD
National Provider Identifier
1588782833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12120 Issued in MD
Practice address
8092 Edwin Raynor Blvd
Pasadena, MD 21122-6833
Phone
(410) 255-0200
Fax
(410) 360-1747
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12120 MD Primary

Addresses

Primary practice location

8092 Edwin Raynor Blvd
Pasadena, MD 21122-6833

Mailing address

10740 Red Dahlia Dr
Woodstock, MD 21163-1430
Phone (410) 750-7778

Other names 1

  • Dr. Robert W Yoon Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12120MDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588782833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 RED DAHLIA DR",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631430",
            "telephone_number": "410-750-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8092 EDWIN RAYNOR BLVD",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226833",
            "telephone_number": "410-255-0200",
            "fax_number": "410-360-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "WON",
        "middle_name": "MOON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.,M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "12120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "YOON",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "D.D.S.,M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.