Active NPI
Eric Shyu
- Dentist
- Henderson, NV
National Provider Identifier
1043733942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6940
- Practice address
- 545 Marks St Ste 100
Henderson, NV 89014-6501 - Phone
- (702) 425-3697
- NPI assigned
- Jul 23, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6940 | NV | Primary |
Addresses
Primary practice location
545 Marks St Ste 100
Henderson, NV 89014-6501
Mailing address
2217 Frostproof St
Las Vegas, NV 89128-6720
Phone (408) 504-1229
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lin Henderson Dental Group, PC | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Henderson, NV
- NPI 1356511240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500768000000",
"number": "1043733942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 FROSTPROOF ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891286720",
"telephone_number": "408-504-1229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 MARKS ST STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890146501",
"telephone_number": "702-425-3697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHYU",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-23",
"last_updated": "2017-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.