Phil Kam Tung Yu, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2901600198 Issued in MI

Practice address

6111 S Cedar St
Lansing, MI 48911-5714

Phone

(517) 393-3447

NPI assigned

May 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1447816814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STANFORD AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396092",
            "telephone_number": "510-213-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115714",
            "telephone_number": "517-393-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "PHIL",
        "middle_name": "KAM TUNG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901600198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Younk
• Your Collective LLC
• Raed Hikmet-Habib Yousif, MD , MS
• Kelli L Youtz
• Haiying Yu, M.D., PH.D.
• Firuz Yumul, MD
• Thomas Yura, DO
• Ambreen Yusaf, D.D.S.
• Rida Zahra, MD
• Steven Zajdlik, DO

• Dentist in Lansing, MI
• Providers in Lansing, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.