Active NPI
Betty Yip, DMD
- Pediatric Dentistry
- Arvada, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DEN.00203889
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203889 | CO | MD | Pediatric Dentist |
| 22DI02671100 | NJ | MD | Pediatric Dentist |
| DS040404 | PA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clover Pediatric Dentistry PLLC | Pediatric Dentistry | Current | 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.
-
dba Clover Kids Dentistry
- Pediatric Dentistry
- Arvada, CO
- NPI 1497345839
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1225183072
-
- Pediatric Dentistry
- Philadelphia, PA
- NPI 1134251580
-
- Dentist
- West Deptford, NJ
- NPI 1881735702
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.