Individual provider Active NPI

Zhichun Yu, DMD

  • Dentist
  • Rockford, IL
National Provider Identifier
1316313778
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64777 Issued in CA
Practice address
6215 E State St
Rockford, IL 61108-2514
Phone
(415) 279-7923
NPI assigned
Aug 19, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.030273 IL
Dentist 122300000X 64777 CA Primary

Addresses

Primary practice location

6215 E State St
Rockford, IL 61108-2514

Mailing address

4756 Mission St
San Francisco, CA 94112-2745
Phone (415) 279-7923

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
019.030273ILMDDentist
64777CAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: zhichun.yu@sjffcc.eclinicaldirectplus.com
  • Direct secure messaging: zyu330468@direct.ochin.org
  • Direct secure messaging: zyu585362@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1316313778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122745",
            "telephone_number": "415-279-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082514",
            "telephone_number": "415-279-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "ZHICHUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030273",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "64777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.