Active NPI
Heung Yoo
- Endodontics
- Fort Carson, CO
National Provider Identifier
1629524848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 00206349
- Practice address
- 2280 Hogan St BLDG 1885
Fort Carson, CO 80913-4408 - Phone
- (571) 231-6004
- NPI assigned
- Aug 28, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS100415 | CA | |
| Endodontics | 1223E0200X | 00206349 | GA | Primary |
Addresses
Primary practice location
2280 Hogan St BLDG 1885
Fort Carson, CO 80913-4408
Mailing address
2280 Hogan St BLDG 1885
Fort Carson, CO 80913-4408
Phone (719) 526-5400
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 |
|---|---|---|---|
| DDS100415 | CA | MD | Dentist |
| 00206349 | GA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1629524848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 HOGAN ST BLDG 1885",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134408",
"telephone_number": "719-526-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 HOGAN ST BLDG 1885",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134408",
"telephone_number": "571-231-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "HEUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-28",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS100415",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "GA",
"license": "00206349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.