Nelson T Yen, D.D.S., M.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

46231 Issued in CA

Practice address

130 Laguna Rd Ste B
Fullerton, CA 92835-3650

Phone

(714) 441-0436

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Nelson T. Yen DDS, Ms Inc.

  • Periodontics
  • Fullerton, CA
  • NPI 1538254396
  NPD Authorized official
• Scott a and Julie H Ford, D.D.S., Inc

  • Dentist
  • Huntington Beach, CA
  • NPI 1659397206
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1245330091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAGUNA RD STE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353650",
            "telephone_number": "714-441-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LAGUNA RD STE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353650",
            "telephone_number": "714-441-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "NELSON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "46231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Beth Yee
• Jenny Sun Yee, L.AC.
• Natalie Yee
• Ronnie Yeh
• Diem Yen
• Yeo Chiropractic & Rehab Center Inc.
• Woon Min Yeo, D.C., L.AC.
• Jasmine Yepez
• Sandra Haemi Yi-Lopez, MA
• Lynda Yi, MFT

• Periodontics in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.