Individual provider Active NPI

Kevin Kosaku Yee, D.D.S.

  • General Practice Dentistry
  • Arden, NC
National Provider Identifier
1225582737
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12602 Issued in NC
Practice address
600 Julian LN Ste 610
Arden, NC 28704-7814
Phone
(828) 684-1633
NPI assigned
Aug 12, 2016
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 100707 CA
General Practice Dentistry 1223G0001X 12602 NC Primary

Addresses

Primary practice location

600 Julian LN Ste 610
Arden, NC 28704-7814

Mailing address

570 Kevington CT
Sacramento, CA 95864-7223
Phone (916) 956-2288

Other practice location 1

707 J St
Sacramento, CA 95814-2501
Phone (916) 443-8701

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

LicenseStateTypeSpecialty
100707CAMDClinical Social Worker
12602NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safrit NC PLLC General Practice CurrentSince Jun 25, 2023 Accepting new patients
Forest Christopher Port DMD PA PastSince Jul 17, 2022 Accepting new patients

Locations

600 Julian Ln
Ste 610
Arden, NC 28704
Phone (828) 684-1633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1225582737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 KEVINGTON CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958647223",
            "telephone_number": "916-956-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JULIAN LN STE 610",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287047814",
            "telephone_number": "828-684-1633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 J St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958142501",
            "country_code": "US",
            "telephone_number": "916-443-8701",
            "fax_number": "916-443-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEE",
        "first_name": "KEVIN",
        "middle_name": "KOSAKU",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100707",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.