NPIMap

Organization Active NPI

Yi Luo DDS Dental Corporation

  • Prosthodontics
  • Cupertino, CA
National Provider Identifier
1093424871
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
YI LUO DDS DENTAL CORPORATION
Practice address
20065 Stevens Creek Blvd BLDG a
Cupertino, CA 95014-2350
Phone
(310) 986-1271
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Yi LuoNPI 1689382319
Title
Ceo
Phone
(408) 777-8998

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
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

20065 Stevens Creek Blvd BLDG a
Cupertino, CA 95014-2350

Mailing address

20065 Stevens Creek Blvd BLDG a
Cupertino, CA 95014-2350

National Provider Directory

National Provider Directory

Locations

20065 Stevens Creek Blvd
Bldg A
Cupertino, CA 95014
Phone (310) 986-1271

Practitioners & affiliated clinicians

Practitioners 2

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1093424871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20065 STEVENS CREEK BLVD BLDG A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20065 STEVENS CREEK BLVD BLDG A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142350",
            "telephone_number": "310-986-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YI LUO DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "LUO",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-777-8998"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.