Individual provider Active NPI

Morris Chuk Ming Yip, DDS PHD

  • Endodontics
  • Covina, CA
National Provider Identifier
1184739831
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
033176 Issued in CA
Practice address
677 South Second Ave
Covina, CA 91723-3518
Phone
(626) 332-6284
Fax
(626) 332-0167
NPI assigned
Aug 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Endodontics 1223E0200X 033176 CA Primary

Addresses

Primary practice location

677 South Second Ave
Covina, CA 91723-3518

Mailing address

677 South Second Ave
Covina, CA 91723-3518
Phone (626) 332-6284

Other identifiers 16

IdentifierTypeStateIssuer
475096OtherUNITED CONCORDIA (MIDA)
118569OtherCIGNA DENTAL
163606OtherCIGNA DENTAL
274408OtherPMI (DELTA CARE)
1C2908OtherPMI (DELTA CARE)
720001OtherUNITED CONCORDIA (MIDA)
EN01OtherPACIFIC CARE
6629OtherSAFEGUARD HEALTH PLAN
5534OtherCALIFORNIA BENEFITS PLAN
92130OtherDENTAL HEALTH SERVICES
9344OtherPACIFIC CARE
2875OtherSAFEGUARD HEALTH PLAN
100812OtherDENTAL HEALTH SERVICES
5097OtherCALIFORNIA BENEFITS PLAN
E004OtherBLUE CROSS DENTAL NET
E149OtherBLUE CROSS DENTAL NET

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
033176CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184739831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 SOUTH SECOND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233518",
            "telephone_number": "626-332-6284",
            "fax_number": "626-332-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 SOUTH SECOND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233518",
            "telephone_number": "626-332-6284",
            "fax_number": "626-332-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIP",
        "first_name": "MORRIS",
        "middle_name": "CHUK MING",
        "name_prefix": "Mr.",
        "credential": "DDS PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "033176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA (MIDA)",
            "identifier": "475096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DENTAL",
            "identifier": "118569",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DENTAL",
            "identifier": "163606",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMI (DELTA CARE)",
            "identifier": "274408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMI (DELTA CARE)",
            "identifier": "1C2908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA (MIDA)",
            "identifier": "720001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC CARE",
            "identifier": "EN01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD HEALTH PLAN",
            "identifier": "6629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BENEFITS PLAN",
            "identifier": "5534",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL HEALTH SERVICES",
            "identifier": "92130",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC CARE",
            "identifier": "9344",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD HEALTH PLAN",
            "identifier": "2875",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL HEALTH SERVICES",
            "identifier": "100812",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BENEFITS PLAN",
            "identifier": "5097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DENTAL NET",
            "identifier": "E004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS DENTAL NET",
            "identifier": "E149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.