John S Yun, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

37962 Issued in CA

Practice address

1801 W Romneya Dr
Suite #503
Anaheim, CA 92801-1830

Phone

(714) 502-6990

Fax

(714) 502-6988

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972687465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "SUITE #503",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011830",
            "telephone_number": "714-502-6990",
            "fax_number": "714-502-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "SUITE #503",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011830",
            "telephone_number": "714-502-6990",
            "fax_number": "714-502-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "37962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Yudin, SLPA
• Susan Elizabeth Yudt, CRNA, MSN
• Emma Mei Ling Yue, OD
• Jennifer Yuen
• Kevin R. Yuhan, MD
• Lydia Yun
• Harvey Yung
• Martha Yuniskis
• Jeff Zachrey Estabillo Yusi
• Patrick Ren Ramirez Yusi

• Periodontics in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Periodontics in California

• 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.
• 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.