Active NPI
David Yu, DDS MS
- Periodontics
- West Lake Hills, TX
National Provider Identifier
1114048105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 20300
- Practice address
- 4201 Bee Cave Rd
C 211
West Lake Hills, TX 78746-6465 - Phone
- (512) 306-8822
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 20300 | TX | Primary |
Addresses
Primary practice location
4201 Bee Cave Rd
C 211
West Lake Hills, TX 78746-6465
Mailing address
4201 Bee Cave Rd
C 211
West Lake Hills, TX 78746-6465
Phone (512) 306-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130801000494 | TX | Order and Referring Only - Oral Surgery | 8426299512 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20300 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114048105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 BEE CAVE RD",
"address_2": "C 211",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466465",
"telephone_number": "512-306-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 BEE CAVE RD",
"address_2": "C 211",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466465",
"telephone_number": "512-306-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "DAVID",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TX",
"license": "20300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.