Active NPI
Andrew Yoon, D.M.D.
- Dentist
- Orange City, FL
National Provider Identifier
1801022561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18672
- Practice address
- 942 Saxon Blvd
Orange City, FL 32763-8358 - Phone
- (386) 774-0125
- Fax
- (386) 672-1616
- NPI assigned
- Jun 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18672 | FL | Primary |
Addresses
Primary practice location
942 Saxon Blvd
Orange City, FL 32763-8358
Mailing address
942 Saxon Blvd
Orange City, FL 32763-8358
Phone (386) 774-0125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18672 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abf Dental PL | Current | Accepting new patients |
Locations
942 Saxon Blvd
Orange City, FL 32763
Phone (386) 774-0125
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Orange City, FL
- NPI 1003560863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250726400000",
"number": "1801022561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942 SAXON BLVD",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638358",
"telephone_number": "386-774-0125",
"fax_number": "386-672-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942 SAXON BLVD",
"city": "ORANGE CITY",
"state": "FL",
"postal_code": "327638358",
"telephone_number": "386-774-0125",
"fax_number": "386-672-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-08",
"last_updated": "2009-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.