Boyd Yu, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DDS100526 Issued in CA

Practice address

2843 E Grand River Ave Ste 130
East Lansing, MI 48823-4989

Phone

(517) 827-3228

NPI assigned

Aug 15, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Yu Dental Group, PLLC

  dba Icy Dental

  • Dental Clinic/Center
  • East Lansing, MI
  • NPI 1306588785
  NPD Authorized official

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1508311945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 E GRAND RIVER AVE STE 130",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234989",
            "telephone_number": "517-827-3228",
            "fax_number": "517-827-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 E GRAND RIVER AVE STE 130",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488234989",
            "telephone_number": "517-827-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS100526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keela J Yount, C. PED
• Your Way Care PLLC
• Madison Yourstone, RD
• Rafid H Yousif, M.D.
• Yu Dental Group, PLLC (Icy Dental)
• Xiaoran Yu, RDN
• April Elaine Yuki, M.D.
• Siaka I Yusuf, MD
• Melissa Yzaguirre, LMFT
• Logan Elizabeth Zajac

• Dentist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.