Active NPI
Stephen Yu, D.D.S.
- Dentist
- Lincolnton, NC
National Provider Identifier
1104189968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9333
- Practice address
- 518 N Generals Blvd
Suite F
Lincolnton, NC 28092-3500 - Phone
- (704) 748-1110
- Fax
- (704) 748-9747
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9333 | NC | Primary |
Addresses
Primary practice location
518 N Generals Blvd
Suite F
Lincolnton, NC 28092-3500
Mailing address
518 N Generals Blvd
Suite F
Lincolnton, NC 28092-3500
Phone (704) 748-1110
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9333 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339977600000",
"number": "1104189968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 N GENERALS BLVD",
"address_2": "SUITE F",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923500",
"telephone_number": "704-748-1110",
"fax_number": "704-748-9747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 N GENERALS BLVD",
"address_2": "SUITE F",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280923500",
"telephone_number": "704-748-1110",
"fax_number": "704-748-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "STEPHEN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2012-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.