Active NPI
Andrew Yoon
- Dentist
- Cibolo, TX
National Provider Identifier
1871271064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42219
- Practice address
- 791 FM 1103 Ste 119
Cibolo, TX 78108-3673 - Phone
- (726) 237-7602
- NPI assigned
- Jul 7, 2023
- Last updated
- Apr 5, 2026
- 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 | 42219 | TX | Primary |
Addresses
Primary practice location
791 FM 1103 Ste 119
Cibolo, TX 78108-3673
Mailing address
791 FM 1103 Ste 119
Cibolo, TX 78108-3673
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 |
|---|---|---|---|
| 42219 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Dental Claremore | General Practice | Past | Accepting new patients |
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
- Claremore, OK
- NPI 1598219347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775347200000",
"number": "1871271064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 FM 1103 STE 119",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781083673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 FM 1103 STE 119",
"city": "CIBOLO",
"state": "TX",
"postal_code": "781083673",
"telephone_number": "726-237-7602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-07",
"last_updated": "2026-04-05",
"certification_date": "2026-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "42219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cibolo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.