Individual provider Active NPI

Yuan Tao, D.M.D.

  • General Practice Dentistry
  • Sunnyvale, CA
National Provider Identifier
1265662647
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58490 Issued in CA
Practice address
877 W Fremont Ave
Ste C-2
Sunnyvale, CA 94087-2315
Phone
(408) 737-2988
Fax
(408) 737-2688
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58490 CA Primary

Addresses

Primary practice location

877 W Fremont Ave
Ste C-2
Sunnyvale, CA 94087-2315

Mailing address

877 W Fremont Ave
Ste C-2
Sunnyvale, CA 94087-2315
Phone (408) 737-2988

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
58490CAMDOncology Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Yuan Tao, DMD, Professional Corporation General Practice CurrentSince Nov 17, 2019 Accepting new patients

Locations

877 W Fremont Ave
Ste C2
Sunnyvale, CA 94087
Phone (408) 332-4445

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1265662647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE",
            "address_2": "STE C-2",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872315",
            "telephone_number": "408-737-2988",
            "fax_number": "408-737-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 W FREMONT AVE",
            "address_2": "STE C-2",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872315",
            "telephone_number": "408-737-2988",
            "fax_number": "408-737-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAO",
        "first_name": "YUAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.