Active NPI
Inyoung Chong Yeam, DMD
- Dentist
- North Las Vegas, NV
National Provider Identifier
1013409374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7060
- Practice address
- 640 E Deer Springs Way Ste 180
North Las Vegas, NV 89086-1514 - Phone
- (702) 399-3800
- NPI assigned
- Jun 3, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7060 | NV | Primary |
Addresses
Primary practice location
640 E Deer Springs Way Ste 180
North Las Vegas, NV 89086-1514
Mailing address
640 E Deer Springs Way Ste 180
North Las Vegas, NV 89086-1514
Phone (702) 399-3800
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 |
|---|---|---|---|
| 7060 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahrestani Deer Springs Modern Dentistry, PC | Dentist | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1079.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- North Las Vegas, NV
- NPI 1922351931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527984000000",
"number": "1013409374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 E DEER SPRINGS WAY STE 180",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861514",
"telephone_number": "702-399-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 E DEER SPRINGS WAY STE 180",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861514",
"telephone_number": "702-399-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAM",
"first_name": "INYOUNG",
"middle_name": "CHONG",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-03",
"last_updated": "2018-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "7060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.