Individual provider Active NPI

Christopher Jongsuk Yoon, DDS

  • General Practice Dentistry
  • Buena Park, CA
National Provider Identifier
1831467323
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS107855 Issued in CA
Practice address
8600 Beach Blvd Ste 105
Buena Park, CA 90620-5201
Phone
(714) 886-2270
NPI assigned
Dec 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS107855 CA Primary

Addresses

Primary practice location

8600 Beach Blvd Ste 105
Buena Park, CA 90620-5201

Mailing address

8600 Beach Blvd Ste 105
Buena Park, CA 90620-5201
Phone (714) 886-2270

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

LicenseStateTypeSpecialty
DDS107855CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yoon Smile Dental General Practice CurrentSince Dec 3, 2023 Accepting new patients

Locations

8600 Beach Blvd
Ste 105
Buena Park, CA 90620
Phone (714) 886-2270

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1831467323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 BEACH BLVD STE 105",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906205201",
            "telephone_number": "714-886-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 BEACH BLVD STE 105",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906205201",
            "telephone_number": "714-886-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "CHRISTOPHER",
        "middle_name": "JONGSUK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS107855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.