Individual provider Active NPI

Philip M. Yen, DDS

  • Dental Anesthesiology
  • Greenwood Village, CO
National Provider Identifier
1285070938
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
00201863 Issued in CO
Practice address
8301 E Prentice Ave Ste 215
Greenwood Village, CO 80111-2990
Phone
(720) 606-4220
Fax
(720) 606-4221
NPI assigned
May 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 60416 CA
Dental Anesthesiology 1223D0004X DEN.00201863 CO
Dental Anesthesiology 1223D0004X 00201863 CO Primary

Addresses

Primary practice location

8301 E Prentice Ave Ste 215
Greenwood Village, CO 80111-2990

Mailing address

8301 E Prentice Ave Ste 215
Greenwood Village, CO 80111-2990
Phone (720) 606-4220

Other identifiers 1

IdentifierTypeStateIssuer
43552331MedicaidCO

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
00201863COMDDentist Anesthesiologist
DEN.00201863COMDDentist Anesthesiologist
60416CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Dental Anesthesia Group of Michigan, PLLC Dental Anesthesiology PastSince Aug 2, 2020 Accepting new patients
Carepoint Anesthesia Group LLC Dental Anesthesiology PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1285070938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 215",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112990",
            "telephone_number": "720-606-4220",
            "fax_number": "720-606-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 E PRENTICE AVE STE 215",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112990",
            "telephone_number": "720-606-4220",
            "fax_number": "720-606-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "PHILIP",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "60416",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CO",
            "license": "DEN.00201863",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CO",
            "license": "00201863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43552331",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.