Active NPI
Katherine Yiu, DDS
- General Practice Dentistry
- Jacksonville, NC
National Provider Identifier
1386218329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12861
- Practice address
- 571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683 - Phone
- (910) 716-0101
- Fax
- (910) 294-8874
- NPI assigned
- May 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12861 | NC | Primary |
Addresses
Primary practice location
571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683
Mailing address
571 Yopp Rd Ste 308
Jacksonville, NC 28540-3683
Phone (910) 716-0101
Other practice location 1
5645 Main St
Flushing, NY 11355-5045
Phone (718) 670-1060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220923000219 | NC | Order and Referring Only - Dentist | 2365827573 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12861 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane and Associates Xli DDS PA | General Practice | Current | Accepting new patients |
| Lane and Associates Xliv DDS PA | General Practice | Past | Accepting new patients |
Locations
571 Yopp Rd
Ste 308
Jacksonville, NC 28540
Phone (910) 716-0101
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": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1386218329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 YOPP RD STE 308",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285403683",
"telephone_number": "910-716-0101",
"fax_number": "910-294-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 YOPP RD STE 308",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285403683",
"telephone_number": "910-716-0101",
"fax_number": "910-294-8874"
}
],
"practiceLocations": [
{
"address_1": "5645 Main St",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113555045",
"country_code": "US",
"telephone_number": "718-670-1060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YIU",
"first_name": "KATHERINE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "12861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.