Active NPI
Tae Eun You, DDS
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1003362062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32337
- Practice address
- 1515 S Buckner Blvd
Ste 223
Dallas, TX 75217-1760 - Phone
- (214) 391-6868
- NPI assigned
- Aug 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32337 | TX | Primary |
Addresses
Primary practice location
1515 S Buckner Blvd
Ste 223
Dallas, TX 75217-1760
Mailing address
8179 Midtown Blvd
Apt 6201
Dallas, TX 75231-4574
Phone (415) 317-3322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32337 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promise Dental PLLC | Current | Accepting new patients | |
| TSLL Dental PLLC | Current | Accepting new patients | |
| South Texas Dental Associates, L.P. | General Practice | Past | Accepting new patients |
| Brident Dental Associates PC | Past | Accepting new patients |
Locations
16631 Coit Rd
Ste 114
Dallas, TX 75248
Phone (214) 484-5978
1780 Northwest Hwy
Ste 150
Garland, TX 75041
Phone (972) 681-3333
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Garland, TX
- NPI 1114898129
-
- Dentist
- Dallas, TX
- NPI 1194298281
-
- General Practice Dentistry
- Dallas, TX
- NPI 1083831788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1003362062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8179 MIDTOWN BLVD",
"address_2": "APT 6201",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314574",
"telephone_number": "415-317-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S BUCKNER BLVD",
"address_2": "STE 223",
"city": "DALLAS",
"state": "TX",
"postal_code": "752171760",
"telephone_number": "214-391-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOU",
"first_name": "TAE",
"middle_name": "EUN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.