NPIMap

Organization Active NPI

Edward Yoo DDS Inc

  • Dental Clinic/Center
  • Merced, CA
National Provider Identifier
1134569437
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
59859 Issued in CA
Legal business name
EDWARD YOO DDS INC
Practice address
2809 G St
Merced, CA 95340-2133
Phone
(209) 723-8801
Fax
(209) 723-0255
NPI assigned
Jul 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Dr. Suk Chan Edward Yoo, DDSNPI 1083922165
Title
Ceo
Phone
(209) 723-8801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 59859 CA Primary

Addresses

Primary practice location

2809 G St
Merced, CA 95340-2133

Mailing address

2809 G St
Merced, CA 95340-2133
Phone (209) 723-8801

National Provider Directory

National Provider Directory

Locations

2809 G St
Merced, CA 95340
Phone (209) 723-8801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1134569437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402133",
            "telephone_number": "209-723-8801",
            "fax_number": "209-723-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402133",
            "telephone_number": "209-723-8801",
            "fax_number": "209-723-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD YOO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "SUK CHAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-723-8801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.