Organization Active NPI

Scott Yoo DDS Dental Corp

  • Dentist
  • Oakland, CA
National Provider Identifier
1093233454
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35663 Issued in CA
Legal business name
SCOTT YOO DDS DENTAL CORP
Practice address
2710 Telegraph Ave Ste 250
Oakland, CA 94612-1776
Phone
(408) 971-9600
NPI assigned
Sep 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Scott Yoo, DDS
Title
Dentist
Phone
(408) 971-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 35663 CA Primary

Addresses

Primary practice location

2710 Telegraph Ave Ste 250
Oakland, CA 94612-1776

Mailing address

2710 Telegraph Ave
Suite 250
Oakland, CA 94612-1770
Phone (408) 971-9600

National Provider Directory

National Provider Directory

Locations

2710 Telegraph Ave
Ste 250
Oakland, CA 94612
Phone (408) 971-9600

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093233454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 TELEGRAPH AVE",
            "address_2": "SUITE 250",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121770",
            "telephone_number": "408-971-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 TELEGRAPH AVE STE 250",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121776",
            "telephone_number": "408-971-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT YOO DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-971-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "35663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.