SUNG YEON JI (NPI# 1609208040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609208040 |
| Entity Type | Individual |
| Full Name | SUNG YEON JI |
| Credential | DDS |
| Practice Address |
927 Country Club Rd Ste 100 Eugene OR 97401-6018 |
| Mailing Address |
13190 Se 162nd Ave Apt 219 Happy Valley OR 97015-3780 |
| Practice Telephone | 4582018471 |
| Mailing Telephone | 9712667043 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2015-09-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10100 | OR | Dental Providers |
| N | 122300000X | Dentist | 019029604 | IL | Dental Providers |
| Street Address |
927 COUNTRY CLUB RD STE 100 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720461981 | Aaron Lau | Dentist | 890 Seneca Rd, Ste 100, Eugene, OR 97402-6900 | 2015-07-07 |
| 1467845446 | Ronald J Levine Dmd PC | Dentist | 244 B Country Club Rd, Eugene, OR 97401-2200 | 2015-03-14 |
| 1649668609 | Joe W. Martin,d.d.s.,p.c. | Dentist | 1400 Executive Pkwy Ste 310, Eugene, OR 97401-7102 | 2014-12-29 |
| 1285043166 | Andrew Trevor Tillman | Dentist | 86479 N Modesto Dr, Eugene, OR 97402-9008 | 2014-08-05 |
| 1558645499 | Katharine S Berka | Dentist | 1055 Valley River Way, Eugene, OR 97401-2159 | 2011-10-10 |
| 1124254230 | John Palmer Mckim | Dentist | 1045 Willagillespie Rd Suite 125, Eugene, OR 97401 | 2009-06-03 |
| 1326297524 | Olga Weinstein | Dentist | 3007 N Delta Hwy Unit 203, Eugene, OR 97408-7119 | 2008-09-11 |
| 1306000518 | Benjamin Lavarn Thomas | Dentist | 895 Country Club Rd Ste C150, Eugene, OR 97401-2359 | 2008-07-16 |
| 1073786364 | James Wayne Ridley | Dentist | 1925 Bailey Hill Rd, Suite A, Eugene, OR 97405-1142 | 2008-04-08 |
| 1154530509 | Drew D Webster | Dentist | 2475 Oakmont Way, Eugene, OR 97401-6460 | 2007-05-22 |
| Find all providers in EUGENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.