Organization Active NPI

Stephanie Yeung DDS PC

  • Prosthodontics
  • Santa Monica, CA
National Provider Identifier
1508259755
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
60266 Issued in CA
Legal business name
STEPHANIE YEUNG DDS PC
Practice address
2200 Colorado Ave
Suite H
Santa Monica, CA 90404-3571
Phone
(310) 400-6352
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Stephanie Yeung, DDSNPI 1689005654
Title
Owner
Phone
(310) 400-6352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 60266 CA Primary

Addresses

Primary practice location

2200 Colorado Ave
Suite H
Santa Monica, CA 90404-3571

Mailing address

2200 Colorado Ave
Suite H
Santa Monica, CA 90404-3571
Phone (310) 400-6352

National Provider Directory

National Provider Directory

Locations

2200 Colorado Ave
Ste H
Santa Monica, CA 90404
Phone (310) 400-6352

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1508259755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 COLORADO AVE",
            "address_2": "SUITE H",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043571",
            "telephone_number": "310-400-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 COLORADO AVE",
            "address_2": "SUITE H",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043571",
            "telephone_number": "310-400-6352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE YEUNG DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-400-6352",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "60266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.