Active NPI
Min-Sung Yoon, D.D.S.
- Prosthodontics
- Fairfield, CT
National Provider Identifier
1619997004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 009601
- Practice address
- 1300 Post Rd Ste 101
Fairfield, CT 06824-6038 - Phone
- (203) 259-7870
- Fax
- (203) 259-0492
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 009601 | CT | Primary |
Addresses
Primary practice location
1300 Post Rd Ste 101
Fairfield, CT 06824-6038
Mailing address
1300 Post Rd Ste 101
Fairfield, CT 06824-6038
Phone (203) 259-7870
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009601 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evergreen Prosthodontic Associates, LLC | Prosthodontics | Past | Accepting new patients |
| Evergreen Prosthodontic Associates, LLC | Prosthodontics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Evergreen Family Dental
- Prosthodontics
- Fairfield, CT
- NPI 1306277892
-
dba Southbury Smiles
- Prosthodontics
- Southbury, CT
- NPI 1336570357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1619997004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 POST RD STE 101",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246038",
"telephone_number": "203-259-7870",
"fax_number": "203-259-0492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 POST RD STE 101",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246038",
"telephone_number": "203-259-7870",
"fax_number": "203-259-0492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "MIN-SUNG",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "CT",
"license": "009601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.