Individual provider Active NPI

Tae Eun You, DDS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1003362062
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32337 Issued in TX
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

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
32337TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Promise Dental PLLC CurrentSince Mar 5, 2023 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.

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.

Verify at the official NPI Registry.