Individual provider Active NPI

Andrew Jihun Yoon, DDS

  • Dentist
  • Cudahy, CA
National Provider Identifier
1659965309
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105950 Issued in CA
Practice address
7903 Atlantic Ave Ste G
Cudahy, CA 90201-5926
Phone
(323) 773-2200
NPI assigned
Feb 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105950 CA Primary

Addresses

Primary practice location

7903 Atlantic Ave Ste G
Cudahy, CA 90201-5926

Mailing address

7521 Edinger Ave Unit 4626
Huntington Beach, CA 92647-0616
Phone (214) 422-6715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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

Enrollment IDStateProvider typePAC IDDetails
I20241104002891 HI Practitioner - Dentist 7214460864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105950CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Waikiki Health CurrentSince Oct 1, 2024 Accepting new patients
Waikiki Health CurrentSince Oct 1, 2024 Accepting new patients
Waikiki Health Past Accepting new patients
Western Dental Services, Inc. Dentist PastSince Mar 4, 2021 Accepting new patients
Cherag Dinshaw Sarkari DDS a Dental Corporation PastSince Mar 4, 2021 Accepting new patients

Locations

845 22nd Ave
#5
Honolulu, HI 96816
Phone (808) 734-2034

935 Makahiki Way
Honolulu, HI 96826
Phone (808) 739-7346

277 Ohua Ave
Honolulu, HI 96815
Phone (808) 791-9355

Interoperability endpoints

  • Direct secure messaging: andrew.yoon.1@15051.direct.athenahealth.com

Organizations & group practices 5

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1659965309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 EDINGER AVE UNIT 4626",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926470616",
            "telephone_number": "214-422-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7903 ATLANTIC AVE STE G",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902015926",
            "telephone_number": "323-773-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "ANDREW",
        "middle_name": "JIHUN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, CA

Sources for this page

Verify at the official NPI Registry.