Tommy D Yun, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

202464 Issued in CO

Practice address

1133 14TH St
Unit 3210
Denver, CO 80202-2202

Phone

(818) 832-0515

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1992864367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 14TH ST",
            "address_2": "UNIT 3210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022202",
            "telephone_number": "818-832-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 14TH ST",
            "address_2": "UNIT 3210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802022202",
            "telephone_number": "818-832-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "TOMMY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "50121",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "202464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Yudkin, MSW
• Melanie Yukov
• Yuliya Gostishcheva
• Katherine Yun
• Kenneth S Yun, M.D.
• Matitiya Yahaya Yunana
• Aisha Ahmed Yunes, BS
• Julie Marie Yung, MD
• Zulma Xenia Yunt, MD
• Mariah Yurman

• Periodontics in Denver, CO
• Providers in Denver, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.