John C Yi DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410295 Issued in VA

Legal business name

JOHN C YI DDS PC

Practice address

4660 Kenmore Ave
Suite 318
Alexandria, VA 22304-1313

Phone

(703) 751-7300

Fax

(703) 751-4017

NPI assigned

Jun 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John C Yi, DDS

Title

President

Phone

(703) 751-7300

Specialties & licenses 1

Addresses

Other names 1

• Alexandria Advanced Dentistry Doing business as

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1457511735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 318",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-751-7300",
            "fax_number": "703-751-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE",
            "address_2": "SUITE 318",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041313",
            "telephone_number": "703-751-7300",
            "fax_number": "703-751-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C YI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-751-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexandria Advanced Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Panisa Virginia Jiumdumneankij
• Jessie Joachim, LPC, LCPC
• Joan Boes
• Siobhonn Job
• Joel M. Temme, MD, PLLC
• John E Gibson, M.D., Joseph H. Kaufman, M.D.,LTD
• John H and Cathy R Feder
• John J. Buchbach
• John W Dunkle, MD PLC
• John W Klousia MD PC

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.