Sul Ki Yi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29018 Issued in TX

Practice address

206 W Mahl St
Edinburg, TX 78539-4331

Phone

(956) 383-4400

Fax

(956) 383-6005

NPI assigned

Jun 3, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 11, 2023 through Sep 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sul Ki Yi, DDS, P.a.

  dba Yi Dentistry

  • General Practice Dentistry
  • Donna, TX
  • NPI 1124729397
  NPD Authorized official
• Sul Ki Yi, DDS, P.a.

  dba Yi Dentistry

  • General Practice Dentistry
  • Edinburg, TX
  • NPI 1265133417
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1063859841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W JONQUIL AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013829",
            "telephone_number": "210-723-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W MAHL ST",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785394331",
            "telephone_number": "956-383-4400",
            "fax_number": "956-383-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N. Main Street Ste. B",
            "address_purpose": "LOCATION",
            "city": "Donna",
            "state": "TX",
            "postal_code": "785374331",
            "country_code": "US",
            "telephone_number": "956-464-4448",
            "fax_number": "956-464-9742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "SUL KI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29018",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angelique Young
• Amanda Ysaguirre

• General Practice Dentistry in Edinburg, TX
• Providers in Edinburg, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.