Yona Rasynouvong, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61633 Issued in KS

Practice address

3801 N Ridge Rd
Ste. 150/160
Wichita, KS 67205

Phone

(316) 993-1579

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yr Family Dentistry

  • Dental Clinic/Center
  • Wichita, KS
  • NPI 1417711235
  NPD Authorized official
• New Horizons Dental Care

  • General Practice Dentistry
  • Salina, KS
  • NPI 1124039425
  NPD (past)
• New Horizons Dental Care

  • Dentist
  • Lenexa, KS
  • NPI 1194061804
  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1659989671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 N ANNA CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051159",
            "telephone_number": "316-993-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N RIDGE RD",
            "address_2": "STE. 150/160",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67205",
            "telephone_number": "316-993-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASYNOUVONG",
        "first_name": "YONA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibrahim Raphael, M.D.
• Dakota Rapp
• Stacy Rapp, OTR
• Erik Rasmussen, PHARMD
• Aric Rastrelli, DO
• Matthew Rathbun, LAC
• Steven W Rathbun, PH.D.
• Brandyn James Rathman, DNP, APRN, FNP-C
• Laura Jene Ratliff, NP-C
• Stephanie Ratsamy, LPC

• General Practice Dentistry in Wichita, KS
• Providers in Wichita, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.