Shannon S Yoon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48410 Issued in CA

Practice address

25124 Narbonne Ave
Suite 202
Lomita, CA 90717-2142

Phone

(310) 530-3260

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Z Qazi DDS Inc.

  • Dentist
  • Lomita, CA
  • NPI 1831077742
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1972539781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 NARBONNE AVE",
            "address_2": "SUITE 202",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172142",
            "telephone_number": "310-530-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25124 NARBONNE AVE",
            "address_2": "SUITE 202",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907172142",
            "telephone_number": "310-530-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "SHANNON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica D Witter, D.C.
• Lishan Workeneh-Martin, M.D.
• World Market Enterprises, Inc.
• Marko Yacoub, DMD
• Lynne Masako Yonemura, PHARMD
• Justin Morton Yu
• Xinyi Yuan
• Z Qazi DDS Inc.
• Hui Zheng

• General Practice Dentistry in Lomita, CA
• Providers in Lomita, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.