Individual provider Active NPI

Leah Sung Yi

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wilmington, DE
National Provider Identifier
1447788955
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
G1-0011509 Issued in DE
Practice address
1405 Silverside Rd
Wilmington, DE 19810-4445
Phone
(302) 493-4316
NPI assigned
May 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS041242 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X G1-0011509 DE Primary

Addresses

Primary practice location

1405 Silverside Rd
Wilmington, DE 19810-4445

Mailing address

1405 Silverside Rd
Wilmington, DE 19810-4445
Phone (302) 493-4316

Other practice location 1

74 Omega Dr Ste D
Newark, DE 19713-2063
Phone (302) 292-1552

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0011509DEMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Myorthos Delaware Orthodontics PA Orthodontics and Dentofacial Orthopedics CurrentSince Sep 17, 2023 Accepting new patients
Elite Dental, LLC General Practice Past Accepting new patients

Locations

74 Omega Dr
#D
Newark, DE 19713
Phone (302) 292-1552

1405 Silverside Rd
Wilmington, DE 19810
Phone (302) 475-4102

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": "1495929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1447788955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104445",
            "telephone_number": "302-493-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104445",
            "telephone_number": "302-493-4316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74 Omega Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132063",
            "country_code": "US",
            "telephone_number": "302-292-1552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "LEAH",
        "middle_name": "SUNG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-28",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041242",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "DE",
            "license": "G1-0011509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.