YEONJU ELIZABETH SON
NPI 1366017121
Dentist - Orthodontics and Dentofacial Orthopedics in Norwalk, CT

Active since May 24, 2021PECOS Enrolled
360 CONNECTICUT AVE, NORWALK, CT 06854(203) 831-0080 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Yeonju Elizabeth Son NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YEONJU ELIZABETH SON (NPI 1366017121) is an individual orthodontics and dentofacial orthopedics provider in Norwalk, Connecticut, licensed in Connecticut (12987) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366017121
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameYEONJU ELIZABETH SON
Location Address360 CONNECTICUT AVENorwalk, CT 06854-1824
Mailing Address360 Connecticut AveNorwalk, CT 06854-1824
Sole ProprietorNo
Enumeration DateMay 24, 2021
Last NPPES UpdateSeptember 1, 2021
NPPES CertifiedSeptember 1, 2021
NPI 1366017121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CT · 12987
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 12987 (CT)
360 CONNECTICUT AVE, Norwalk, CT 06854

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yeonju Elizabeth Son is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
360 CONNECTICUT AVE
NORWALK, CT 06854
Dentist (General Practice)
360 CONNECTICUT AVE
NORWALK, CT 06854
Dentist
360 CONNECTICUT AVE
NORWALK, CT 06854
Dentist (Dental Public Health)
360 CONNECTICUT AVE
NORWALK, CT 06854
Pharmacist
360 CONNECTICUT AVE
NORWALK, CT 06854
Dentist (General Practice)
360 CONNECTICUT AVE
NORWALK, CT 06854
Dentist (General Practice)
360 CONNECTICUT AVE
NORWALK, CT 06854
Dentist (General Practice)
360 CONNECTICUT AVE
NORWALK, CT 06854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366017121, enumerated as an "individual" on May 24, 2021.

The provider is located at 360 CONNECTICUT AVE NORWALK, CT 06854 and the phone number is (203) 831-0080.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.