Shaul Yehezkel, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

47587 Issued in CA

Practice address

4902 Irvine Center Dr
Suite 111
Irvine, CA 92604-3305

Phone

(949) 559-0674

Fax

(949) 559-7909

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Irvine Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • Irvine, CA
  • NPI 1043330152
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255478897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RED ROCK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043067",
            "telephone_number": "949-857-4640",
            "fax_number": "949-559-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 IRVINE CENTER DR",
            "address_2": "SUITE 111",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043305",
            "telephone_number": "949-559-0674",
            "fax_number": "949-559-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEHEZKEL",
        "first_name": "SHAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "47587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine F. Yee, PSY.D.
• Alvin Yeh, DPT
• Audrey Yeh
• Szu Hui Yeh, PH.D., L.AC.
• Wu-Ming Yeh
• Yeichi Enterprises, Inc.
• Frank D Yelian, MD, PHD
• Yeming Sun M.D. Inc
• Jungmi Yeo
• Yeongbok Kim DDS Inc

• Pediatric Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.