Individual provider Active NPI

Lilia Yu, DDS

  • Pediatric Dentistry
  • Salem, OR
National Provider Identifier
1073043485
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D11520 Issued in OR
Practice address
1049 Edgewater St NW Ste 100
Salem, OR 97304-4046
Phone
(503) 820-4516
NPI assigned
Jun 18, 2017
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D11520 OR Primary

Addresses

Primary practice location

1049 Edgewater St NW Ste 100
Salem, OR 97304-4046

Mailing address

204 N 1St St Ste E
Silverton, OR 97381-1635
Phone (503) 874-4560

Other names 1

  • Ying-Chieh Yu Other name

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
D11520ORMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Acorn Dentistry for Kids - West Salem, LLC Pediatric Dentistry CurrentSince Sep 15, 2019 Accepting new patients
Acorn Dentistry for Kids - Hillsboro, LLC Past Accepting new patients

Locations

1049 Edgewater St NW
Salem, OR 97304
Phone (503) 874-4560

1049 Edgewater St NW
Ste 100
Salem, OR 97304
Phone (503) 820-4516

204 N 1st St
Ste E
Silverton, OR 97381

Organizations & group practices 2

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": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1073043485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 1ST ST STE E",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811635",
            "telephone_number": "503-874-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 EDGEWATER ST NW STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044046",
            "telephone_number": "503-820-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "LILIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D11520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YING-CHIEH",
            "last_name": "YU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.