Organization Active NPI

David Yoo DMD Inc

  • General Practice Dentistry
  • Pico Rivera, CA
National Provider Identifier
1104361757
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51676 Issued in CA
Legal business name
DAVID YOO DMD INC
Practice address
8803 Whittier Blvd #200
Pico Rivera, CA 90660-7400
Phone
(562) 463-6163
Fax
(562) 395-7693
NPI assigned
Jan 5, 2017
Organization subpart
Yes
Parent organization
DAVID YOO DMD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Dr. David Dongshin Yoo, DMD
Title
Ceo
Phone
(562) 463-6163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 51676 CA Primary

Addresses

Primary practice location

8803 Whittier Blvd #200
Pico Rivera, CA 90660-7400

Mailing address

8803 Whittier Blvd #200
Pico Rivera, CA 90660-7400
Phone (562) 463-6163

Other names 1

  • Prime Care Dental Former legal business name

National Provider Directory

National Provider Directory
Part of
David Yoo DMD Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1104361757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 WHITTIER BLVD #200",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906607400",
            "telephone_number": "562-463-6163",
            "fax_number": "562-395-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 WHITTIER BLVD #200",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906607400",
            "telephone_number": "562-463-6163",
            "fax_number": "562-395-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID YOO DMD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID YOO DMD INC",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DONGSHIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-463-6163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Care Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pico Rivera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.