Alex Wah Yuen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD5425 Issued in NM

Practice address

3501 N Butler Ave Ste 103
Farmington, NM 87401-6430

Phone

(505) 564-4470

Fax

(505) 325-9707

NPI assigned

Aug 17, 2006

Last updated

Feb 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 100 South Bloomfield Professional, LLC

  dba Sundance Dental Care of Bloomfield

  • General Practice Dentistry
  • Bloomfield, NM
  • NPI 1912519067
  NPD (past)
• Sundance Dental Care of Bloomfield, LLC.

  • General Practice Dentistry
  • Bloomfield, NM
  • NPI 1023344181
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1104939438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N BUTLER AVE STE 103",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016430",
            "telephone_number": "505-564-4470",
            "fax_number": "505-325-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N BUTLER AVE STE 103",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016430",
            "telephone_number": "505-564-4470",
            "fax_number": "505-325-9707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "NM",
            "postal_code": "874136242",
            "country_code": "US",
            "telephone_number": "505-632-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUEN",
        "first_name": "ALEX",
        "middle_name": "WAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5306",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCP",
            "identifier": "525008",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AY1518589",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert S Young Jr., M.D.
• Shawna Young, M.D.
• William Young, PA-C
• William Young, M.D.
• Holly Youvella
• Margaret Zamora, PT
• Zelevie Outpatient Therapy LLC
• Haiyan Zhou, NP
• Zia Hearing Center, LLC (Sandia Hearing Aids)
• Zia Rehab Solutions LLC

• General Practice Dentistry in Farmington, NM
• Providers in Farmington, NM by specialty
• General Practice Dentistry in New Mexico

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