Joo-Youn Yi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601123 Issued in MI

Practice address

58620 Sink Rd
Dowagiac, MI 49047-9329

Phone

(269) 783-2495

Fax

(269) 782-4925

NPI assigned

Nov 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

Practice roles

Locations

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.

• Pokagon Band of Potawatomi Indians

  • Federally Qualified Health Center (FQHC)
  • Dowagiac, MI
  • NPI 1497833271

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1982905519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 180",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490470180",
            "telephone_number": "269-783-2495",
            "fax_number": "269-782-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58620 SINK RD",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479329",
            "telephone_number": "269-783-2495",
            "fax_number": "269-782-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "JOO-YOUN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601123",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles A. White, DO
• James Lee Wierman, DO
• Lisa Janelle Wolske, NP-C
• Workshop Therapy Services, LLC
• Kristen Wright, MD
• David Wayne Young, M.D., M.S.
• Stacy Marie Young
• Adeel Yousaf, M.D
• Cynthia Zachary, RDH
• Mohammad S Zaman, MD

• All providers in Dowagiac, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.