Organization Active NPI

Keusung Yun Dental P.C.

  • Dental Clinic/Center
  • Harrisonburg, VA
National Provider Identifier
1891212866
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401415373 Issued in VA
Legal business name
KEUSUNG YUN DENTAL P.C.
Practice address
2262 Blue Stone Hills Dr Ste a
Harrisonburg, VA 22801-5434
Phone
(540) 433-3080
NPI assigned
Aug 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Authorized official

Name
Keusung YunNPI 1033499405
Title
Ceo
Phone
(918) 710-5526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401415373 VA Primary

Addresses

Primary practice location

2262 Blue Stone Hills Dr Ste a
Harrisonburg, VA 22801-5434

Mailing address

31 Bogey Ave
New Market, VA 22844-9667
Phone (918) 710-5526

National Provider Directory

National Provider Directory

Locations

2262 Blue Stone Hills Dr
Ste A
Harrisonburg, VA 22801
Phone (540) 433-3080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1891212866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BOGEY AVE",
            "city": "NEW MARKET",
            "state": "VA",
            "postal_code": "228449667",
            "telephone_number": "918-710-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 BLUE STONE HILLS DR STE A",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228015434",
            "telephone_number": "540-433-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEUSUNG YUN DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "KEUSUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-710-5526"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401415373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.