Individual provider Active NPI

Betty Yip, DMD

  • Pediatric Dentistry
  • Arvada, CO
National Provider Identifier
1245610351
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN.00203889 Issued in CO
Practice address
14749 W 87TH Pkwy Unit a
Arvada, CO 80005-1337
Phone
(720) 805-0707
Fax
(720) 805-0188
NPI assigned
Jun 3, 2015
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040404 PA
Pediatric Dentistry 1223P0221X DS040404 PA
Pediatric Dentistry 1223P0221X 22DI02671100 NJ
Pediatric Dentistry 1223P0221X DEN.00203889 CO Primary

Addresses

Primary practice location

14749 W 87TH Pkwy Unit a
Arvada, CO 80005-1337

Mailing address

14749 W 87TH Pkwy Unit a
Arvada, CO 80005-1337
Phone (720) 805-0707

Other practice location 1

2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Phone (215) 282-2000

Other practice location 2

6801 Ridge Ave
Philadelphia, PA 19128-2446
Phone (215) 483-6633

Other practice location 3

400 Greentree Rd
Sewell, NJ 08080-9353
Phone (856) 589-6886

Other practice location 4

776 Grove Rd
West Deptford, NJ 08086-2234
Phone (856) 848-2211

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
DEN.00203889COMDPediatric Dentist
22DI02671100NJMDPediatric Dentist
DS040404PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Clover Pediatric Dentistry PLLC Pediatric Dentistry CurrentSince Jan 24, 2021 Accepting new patients
David a. Bresler DDS PC Pediatric Dentistry Past Accepting new patients
Bresler Richmond Dental Associates General Practice Past Accepting new patients
Stuart a Wasserlauf DDS PA Past Accepting new patients

Locations

14749 W 87th Pkwy
Unit A
Arvada, CO 80005
Phone (720) 805-0707

Organizations & group practices 4

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1245610351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14749 W 87TH PKWY UNIT A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051337",
            "telephone_number": "720-805-0707",
            "fax_number": "720-805-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14749 W 87TH PKWY UNIT A",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800051337",
            "telephone_number": "720-805-0707",
            "fax_number": "720-805-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 E Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191344427",
            "country_code": "US",
            "telephone_number": "215-282-2000",
            "fax_number": "215-427-1782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6801 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191282446",
            "country_code": "US",
            "telephone_number": "215-483-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Greentree Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809353",
            "country_code": "US",
            "telephone_number": "856-589-6886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 Grove Rd",
            "address_purpose": "LOCATION",
            "city": "West Deptford",
            "state": "NJ",
            "postal_code": "080862234",
            "country_code": "US",
            "telephone_number": "856-848-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIP",
        "first_name": "BETTY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040404",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS040404",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02671100",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00203889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.