NPIMap

Organization Active NPI

Shelly Yu DDS Inc

  • General Practice Dentistry
  • Chico, CA
National Provider Identifier
1073621629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48869 Issued in CA
Legal business name
SHELLY YU DDS INC
Practice address
2571 California Park Dr
Suite 120
Chico, CA 95928-4042
Phone
(530) 345-6888
Fax
(530) 345-9988
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shelly Xiao Yue YuNPI 1700993110
Title
President
Phone
(530) 345-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48869 CA Primary

Addresses

Primary practice location

2571 California Park Dr
Suite 120
Chico, CA 95928-4042

Mailing address

2571 California Park Dr
Suite 120
Chico, CA 95928-4042
Phone (530) 345-6888

Other names 1

  • Lakeview Dental Office. Doing business as

National Provider Directory

National Provider Directory

Locations

2571 California Park Dr
Ste 120
Chico, CA 95928
Phone (530) 345-6888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073621629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 CALIFORNIA PARK DR",
            "address_2": "SUITE 120",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284042",
            "telephone_number": "530-345-6888",
            "fax_number": "530-345-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 CALIFORNIA PARK DR",
            "address_2": "SUITE 120",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959284042",
            "telephone_number": "530-345-6888",
            "fax_number": "530-345-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLY YU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "XIAO YUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-345-6888"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Dental Office.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.