Organization Active NPI

Adwen P. Yap DDS, Inc

  • General Practice Dentistry
  • Moreno Valley, CA
National Provider Identifier
1447278189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
37309 Issued in CA
Legal business name
ADWEN P. YAP DDS, INC
Practice address
11481 Heacock St
Suite 160
Moreno Valley, CA 92557-7906
Phone
(951) 242-5470
Fax
(951) 242-5470
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adwen P. Yap, DDS
Title
Director
Phone
(951) 242-5470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 37309 CA Primary

Addresses

Primary practice location

11481 Heacock St
Suite 160
Moreno Valley, CA 92557-7906

Mailing address

11481 Heacock St
Suite 160
Moreno Valley, CA 92557-7906
Phone (951) 242-5470

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447278189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 HEACOCK ST",
            "address_2": "SUITE 160",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577906",
            "telephone_number": "951-242-5470",
            "fax_number": "951-242-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 HEACOCK ST",
            "address_2": "SUITE 160",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925577906",
            "telephone_number": "951-242-5470",
            "fax_number": "951-242-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADWEN P. YAP DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAP",
        "authorized_official_first_name": "ADWEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-242-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.