Individual provider Active NPI

Christopher Keunyoung Yoo, D.M.D.

  • General Practice Dentistry
  • Columbia, MD
National Provider Identifier
1952497067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13555 Issued in MD
Practice address
8850 Columbia 100 Pkwy
Suite 201
Columbia, MD 21045-2374
Phone
(410) 997-5699
Fax
(410) 997-5633
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 13555 MD Primary

Addresses

Primary practice location

8850 Columbia 100 Pkwy
Suite 201
Columbia, MD 21045-2374

Mailing address

8850 Columbia 100 Pkwy
Suite 201
Columbia, MD 21045-2374
Phone (410) 997-5699

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
13555MDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Dental Clinic, P.a. 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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952497067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452374",
            "telephone_number": "410-997-5699",
            "fax_number": "410-997-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 COLUMBIA 100 PKWY",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452374",
            "telephone_number": "410-997-5699",
            "fax_number": "410-997-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "CHRISTOPHER",
        "middle_name": "KEUNYOUNG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.