Organization Active NPI

Yu DMD PLLC

  • Pediatric Dentistry
  • Issaquah, WA
National Provider Identifier
1255032231
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
YU DMD PLLC
Practice address
1135 NW Gilman Blvd Ste F5
Issaquah, WA 98027-5345
Phone
(425) 392-6455
NPI assigned
Mar 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Rui Yu, DMDNPI 1528476108
Title
Member
Phone
(425) 835-3297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1135 NW Gilman Blvd Ste F5
Issaquah, WA 98027-5345

Mailing address

1135 NW Gilman Blvd Ste F5
Issaquah, WA 98027-5345
Phone (425) 392-6455

National Provider Directory

National Provider Directory

Locations

1135 NW Gilman Blvd
Ste F5
Issaquah, WA 98027
Phone (425) 392-6455

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1255032231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 NW GILMAN BLVD STE F5",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275345",
            "telephone_number": "425-392-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 NW GILMAN BLVD STE F5",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275345",
            "telephone_number": "425-392-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YU DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "RUI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-835-3297",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.