NPIMap

Organization Active NPI

Carolyn L. Yu, DDS, Inc

  • Dental Clinic/Center
  • Pinole, CA
National Provider Identifier
1306274980
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
53115 Issued in CA
Legal business name
CAROLYN L. YU, DDS, INC
Practice address
1430 Tara Hills Dr
Suite C
Pinole, CA 94564-2580
Phone
(510) 724-8001
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Authorized official

Name
Dr. Carolyn YuNPI 1104093897
Title
President
Phone
(510) 724-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 53115 CA Primary

Addresses

Primary practice location

1430 Tara Hills Dr
Suite C
Pinole, CA 94564-2580

Mailing address

1430 Tara Hills Dr
Suite C
Pinole, CA 94564-2580
Phone (510) 724-8001

National Provider Directory

National Provider Directory

Locations

1430 Tara Hills Dr
Ste C
Pinole, CA 94564
Phone (510) 724-8001

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1306274980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TARA HILLS DR",
            "address_2": "SUITE C",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642580",
            "telephone_number": "510-724-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TARA HILLS DR",
            "address_2": "SUITE C",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642580",
            "telephone_number": "510-724-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN L. YU, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-724-8001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "53115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.