Active NPI
Yiwei Gao, DDS
- Dentist
- Burlington, NJ
National Provider Identifier
1184286460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02766300
- Practice address
- 651 High St
Burlington, NJ 08016-2737 - Phone
- (609) 386-0775
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02766300 | NJ | Primary |
Addresses
Primary practice location
651 High St
Burlington, NJ 08016-2737
Mailing address
1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0695947 | Medicaid | NJ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yiwei Gao Dental, PLLC | Current | Accepting new patients |
Locations
3818 Far West Blvd
Ste 111
Austin, TX 78731
Phone (572) 345-1140
6104 S 1st St
Ste 103
Austin, TX 78745
Phone (512) 222-9772
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Austin, TX
- NPI 1942171681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591228800000",
"number": "1184286460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N WHITE HORSE PIKE",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "08037",
"telephone_number": "609-567-0200",
"fax_number": "609-567-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "651 HIGH ST",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080162737",
"telephone_number": "609-386-0775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "YIWEI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2020-06-04",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02766300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0695947",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.