Active NPI
Randall D.J. Yee, D.D.S.
- Endodontics
- Wailuku, HI
National Provider Identifier
1497899876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DT-1111
- Practice address
- 1063 Lower Main St Ste C224
Wailuku, HI 96793-2096 - Phone
- (808) 242-6857
- Fax
- (808) 244-8402
- NPI assigned
- Feb 17, 2007
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DT-1111 | HI | Primary |
Addresses
Primary practice location
1063 Lower Main St Ste C224
Wailuku, HI 96793-2096
Mailing address
1063 Lower Main St Ste C224
Wailuku, HI 96793-2096
Phone (808) 242-6857
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 |
|---|---|---|---|
| DT-1111 | HI | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randall D. J. Yee, DDS, MSD, Inc. | Endodontics | 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.
-
- Endodontics
- Wailuku, HI
- NPI 1043422439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497899876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 LOWER MAIN ST STE C224",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932096",
"telephone_number": "808-242-6857",
"fax_number": "808-244-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 LOWER MAIN ST STE C224",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932096",
"telephone_number": "808-242-6857",
"fax_number": "808-244-8402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEE",
"first_name": "RANDALL",
"middle_name": "D.J.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "HI",
"license": "DT-1111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.