So Youn Min

Primary specialty

DentistTaxonomy code 122300000X

License

65275 Issued in CA

Practice address

4685 Eldorado Pkwy Ste 200
Frisco, TX 75033-0290

Phone

(469) 445-2687

NPI assigned

May 18, 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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• So Youn Min DDS Inc

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1336008457
  NPD Authorized official

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1679196240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 ELDORADO PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 ELDORADO PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330290",
            "telephone_number": "469-445-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "SO YOUN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSDBE",
            "identifier": "38356",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "65275",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tustin@timkimdental.com",
            "affiliation": "N",
            "address_1": "2492 Walnut Ave",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927806953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Akiya Songsuda Milton
• Mia Milton, DC
• Kevin Lee Mimms, MS, LMFT ASSOCIATE
• Mimshach Tax Services, LLC
• Min Jung MD PLLC
• Mina Health Services, LLC
• Mind & Heart Counseling, Inc.
• Mind Wellness Therapy, PLLC
• Mindful Brooke Therapy LLC
• Mindful Methods

• Dentist in Frisco, TX
• Providers in Frisco, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.