Individual provider Active NPI

Timothy Key Young Rhee, DDS

  • General Practice Dentistry
  • Yorba Linda, CA
National Provider Identifier
1487824819
Registry record updated Apr 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55161 Issued in CA
Practice address
19851 Yorba Linda Blvd
Suite 201
Yorba Linda, CA 92886-2864
Phone
(714) 777-9403
NPI assigned
Feb 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2010

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 55161 CA Primary

Addresses

Primary practice location

19851 Yorba Linda Blvd
Suite 201
Yorba Linda, CA 92886-2864

Mailing address

19851 Yorba Linda Blvd
Suite 201
Yorba Linda, CA 92886-2864
Phone (714) 777-9403

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
55161CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eliza Berris DDS II Inc. PastSince Nov 9, 2021 Accepting new patients

Organizations & group practices 1

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272067200000",
    "number": "1487824819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19851 YORBA LINDA BLVD",
            "address_2": "SUITE 201",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862864",
            "telephone_number": "714-777-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19851 YORBA LINDA BLVD",
            "address_2": "SUITE 201",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862864",
            "telephone_number": "714-777-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEE",
        "first_name": "TIMOTHY",
        "middle_name": "KEY YOUNG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2010-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2010; 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.