Cheol Min Yoon, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN016058 Issued in GA

Practice address

598 Prince Ave
Athens, GA 30601-2451

Phone

(706) 621-4449

Fax

(706) 621-7341

NPI assigned

Jul 27, 2020

Sex

Male

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

Enrolled in GA

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

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.

• Saint Joseph'S Mercy Care Services Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1588663421
  Medicare reassignment NPD
• Life Point Dental

  • Dental Clinic/Center
  • Jefferson, GA
  • NPI 1255871992
  NPD
• Life Point Dental Athens LLC

  • Dental Clinic/Center
  • Athens, GA
  • NPI 1558986182
  NPD
• Saint Joseph'S Mercy Care Services Inc

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1538757554
  NPD
• Saint Joseph'S Mercy Care Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1689921306
  NPD
• Saint Joseph'S Mercy Care Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1821239708
  NPD

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1730798646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012451",
            "telephone_number": "706-621-4449",
            "fax_number": "706-621-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012451",
            "telephone_number": "706-621-4449",
            "fax_number": "706-621-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "CHEOL",
        "middle_name": "MIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN016058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Yelton, CRNA
• Amy Yepifantsev, RD, LD
• Fia Yi, M.D.
• Lydia Yohannes
• Max Jeongyeon Yoo, DMD
• Blakely M York, PA-C
• Glenda Ann York, MS, LPC
• Lindsey Ann York, LCSW
• Beth Burch Young, NP-C
• George Young, MD

• Dentist in Athens, GA
• Providers in Athens, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.