Individual provider Active NPI

Ai Lin Yu

  • General Practice Dentistry
  • West Roxbury, MA
National Provider Identifier
1477413409
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10001058 Issued in MA
Practice address
1996 Centre St Ste 201
West Roxbury, MA 02132-3330
Phone
(617) 221-8000
NPI assigned
Nov 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10001058 MA Primary

Addresses

Primary practice location

1996 Centre St Ste 201
West Roxbury, MA 02132-3330

Mailing address

1996 Centre St Ste 201
West Roxbury, MA 02132-3330
Phone (617) 221-8000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN10001058MAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1477413409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 CENTRE ST STE 201",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323330",
            "telephone_number": "617-221-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 CENTRE ST STE 201",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323330",
            "telephone_number": "617-221-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "AI LIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10001058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.