Chaeryun Yi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16608 Issued in MD

Practice address

413 Pulaski Hwy Ste 107
Joppa, MD 21085-3626

Phone

(410) 679-4500

NPI assigned

Jul 27, 2018

Last updated

Jul 27, 2018By the provider in NPPES

Sex

Female

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.

• Good Day Family Dental, LLC

  • Dental Clinic/Center
  • Columbia, MD
  • NPI 1134798770
  NPD Authorized official
• Fci Dental Care

  • Dentist
  • Joppa, MD
  • NPI 1407388994
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1295212629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 FELL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313586",
            "telephone_number": "781-883-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 PULASKI HWY STE 107",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210853626",
            "telephone_number": "410-679-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "CHAERYUN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilbrinas Medical Services
• Mandy Willard, LCSW-C
• Wise Traditions, LLC
• Donna Lee Withrow, LCSW-C
• Yeshua Restoration and Healing Center LLC
• Zion Health Services Inc

• General Practice Dentistry in Joppa, MD
• Providers in Joppa, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.