Individual provider Active NPI

Yoo Jin Chung, DMD

  • Prosthodontics
  • Winter Garden, FL
National Provider Identifier
1609369891
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN25813 Issued in FL
Practice address
950 Windermere Rd Unit 12a
Winter Garden, FL 34787-6161
Phone
(407) 906-7555
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X DN25813 FL Primary

Addresses

Primary practice location

950 Windermere Rd Unit 12a
Winter Garden, FL 34787-6161

Mailing address

7148 Desert Mandarin St
Winter Garden, FL 34787-3243
Phone (504) 338-0524

Other practice location 1

425 Citrus Tower Blvd # U101
Clermont, FL 34711-6112
Phone (352) 243-9930

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
DN25813FLMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire Dental Studio, PLLC Prosthodontics CurrentSince Oct 12, 2025 Accepting new patients

Locations

950 Windermere Rd
Unit 12A
Winter Garden, FL 34787
Phone (407) 906-7555

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1609369891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7148 DESERT MANDARIN ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873243",
            "telephone_number": "504-338-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 WINDERMERE RD UNIT 12A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876161",
            "telephone_number": "407-906-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Citrus Tower Blvd # U101",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116112",
            "country_code": "US",
            "telephone_number": "352-243-9930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "YOO JIN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN25813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.