Individual provider Active NPI

Klaus M Yi, DDS INC

  • Periodontics
  • Rancho Mirage, CA
National Provider Identifier
1134323660
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
51004 Issued in CA
Practice address
34530 Bob Hope Dr
Suite B
Rancho Mirage, CA 92270-1727
Phone
(760) 324-2939
Fax
(760) 324-3130
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51004 CA
Periodontics 1223P0300X 51004 CA Primary

Addresses

Primary practice location

34530 Bob Hope Dr
Suite B
Rancho Mirage, CA 92270-1727

Mailing address

34530 Bob Hope Dr
Suite B
Rancho Mirage, CA 92270-1727
Phone (760) 324-2939

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1134323660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34530 BOB HOPE DR",
            "address_2": "SUITE B",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701727",
            "telephone_number": "760-324-2939",
            "fax_number": "760-324-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34530 BOB HOPE DR",
            "address_2": "SUITE B",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701727",
            "telephone_number": "760-324-2939",
            "fax_number": "760-324-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "KLAUS",
        "middle_name": "M",
        "credential": "DDS INC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51004",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "51004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.