Jin Yun, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS107474 Issued in CA

Practice address

2610 Tuolumne St
Fresno, CA 93721-1227

Phone

(559) 646-6618

NPI assigned

Jul 14, 2022

Last updated

Aug 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jin.yun.p1@direct.kcs.nextgenshare.com

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.

• KCS, Inc.

  dba KCS Health Center

  • Federally Qualified Health Center (FQHC)
  • Buena Park, CA
  • NPI 1861525602
  Medicare reassignment NPD
• KCS, Inc.

  dba KCS Health Center

  • Federally Qualified Health Center (FQHC)
  • Anaheim, CA
  • NPI 1992951180
  NPD

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1629702618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 TUOLUMNE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211227",
            "telephone_number": "559-646-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 TUOLUMNE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211227",
            "telephone_number": "559-646-6618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10432 N Price Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937304733",
            "country_code": "US",
            "telephone_number": "646-715-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUN",
        "first_name": "JIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS107474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yun Acupuncture Clinic Inc
• Bonnie Yun
• Hye Sung Yun, PHD., LAC, DIP.OM
• Jennifer H Yun, PHARMD
• Jihyun Yun, DO
• Elson Chang Yung, MD
• Kayanne Yung
• Sharlyn Yurizza
• Nigar Yusifova
• Diane Yusuf

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.