Active NPI
Timothy Key Young Rhee, DDS
- General Practice Dentistry
- Yorba Linda, CA
National Provider Identifier
1487824819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55161
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 55161 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eliza Berris DDS II Inc. | Past | 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.