Individual provider Active NPI

Erika Ynga, DDS

  • Dentist
  • Champaign, IL
National Provider Identifier
1114056272
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019026093 Issued in IL
Practice address
703 S Neil St
Champaign, IL 61820-5223
Phone
(217) 398-2244
Fax
(217) 398-9188
NPI assigned
Mar 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019026093 IL Primary

Addresses

Primary practice location

703 S Neil St
Champaign, IL 61820-5223

Mailing address

703 S Neil St
Champaign, IL 61820-5223
Phone (217) 398-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715002107 FL Order and Referring Only - DentistPractitioner - Dentist 9830402148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019026093ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114056272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205223",
            "telephone_number": "217-398-2244",
            "fax_number": "217-398-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205223",
            "telephone_number": "217-398-2244",
            "fax_number": "217-398-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YNGA",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019026093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.