Active NPI
Won Moon Yoon, D.D.S.,M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pasadena, MD
National Provider Identifier
1588782833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12120
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12120 | MD | MD | Pharmacist |
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.