Active NPI
Erica S. Yi, D.D.S
- General Practice Dentistry
- Woodhaven, MI
National Provider Identifier
1134477300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901020798
- Practice address
- 22003 Allen Rd
Woodhaven, MI 48183-2205 - Phone
- (734) 692-1920
- NPI assigned
- Aug 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901020798 | MI | Primary |
Addresses
Primary practice location
22003 Allen Rd
Woodhaven, MI 48183-2205
Mailing address
527 Waymarket Dr
Ann Arbor, MI 48103-6619
Phone (414) 915-3610
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901020798 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1134477300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 WAYMARKET DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481036619",
"telephone_number": "414-915-3610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22003 ALLEN RD",
"city": "WOODHAVEN",
"state": "MI",
"postal_code": "481832205",
"telephone_number": "734-692-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "ERICA",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-20",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901020798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodhaven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.