Individual provider Active NPI

Peipei Yu, D.M.D.

  • General Practice Dentistry
  • Port Royal, SC
National Provider Identifier
1215318399
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8551 Issued in SC
Practice address
1869 N Paris Ave
Port Royal, SC 29935-2029
Phone
(843) 521-1869
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8551 SC Primary

Addresses

Primary practice location

1869 N Paris Ave
Port Royal, SC 29935-2029

Mailing address

1869 N Paris Ave
Port Royal, SC 29935-2029
Phone (843) 521-1869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723008539 SC Order and Referring Only - Other (Non-Physician) 5294048948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peipei Yu, DMD, LLC CurrentSince Feb 23, 2020 Accepting new patients
McKnight & Weaver, LLC General Practice PastSince Feb 23, 2020 Accepting new patients

Locations

1869 N Paris Ave
Port Royal, SC 29935
Phone (843) 521-1869

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1215318399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 N PARIS AVE",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352029",
            "telephone_number": "843-521-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 N PARIS AVE",
            "city": "PORT ROYAL",
            "state": "SC",
            "postal_code": "299352029",
            "telephone_number": "843-521-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "PEIPEI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Royal, SC

Sources for this page

Verify at the official NPI Registry.