Katherine Kyungae Yi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012594 Issued in GA

Practice address

302 Satellite Blvd NE Ste 216
Suwanee, GA 30024-7185

Phone

(678) 541-6020

Fax

(678) 541-6023

NPI assigned

Aug 31, 2006

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

Locations

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.

• Katherine K. Yi, DDS, PC

  • Dental Clinic/Center
  • Suwanee, GA
  • NPI 1467339440
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1295846855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 SUWANEE BEND DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246452",
            "telephone_number": "678-541-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SATELLITE BLVD NE STE 216",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247185",
            "telephone_number": "678-541-6020",
            "fax_number": "678-541-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "KATHERINE",
        "middle_name": "KYUNGAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiadong Yang, PHARMD
• Soo Yang, MT
• Sung H Yang, D.C.
• Ravi David Yarid, D.O.
• Christen Yi, DPT
• Lisa Dia Yi, BS
• Patrick BK Yi, DC
• Oya Yildirim
• Hye Soon Yoo
• Ilwhan Yoon, MASSAGE THERAPIST

• General Practice Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.