Judy L Yip, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

104025 Issued in CA

Practice address

1041 E Yorba Linda Blvd Ste 206
Placentia, CA 92870-3763

Phone

(714) 528-8252

NPI assigned

May 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Mary R Pham DDS Dental Corporation

  • Pediatric Dentistry
  • Lake Forest, CA
  • NPI 1194491738
  NPD
• Hideki Ikeda D.D.S., M.S., Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Garden Grove, CA
  • NPI 1205114501

  Single Specialty

  NPD (past)
• Mary Regina Pham D.D.S., M.S. Dental Corporation

  • Pediatric Dentistry
  • Placentia, CA
  • NPI 1326309329
  NPD (past)

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1508393620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 206",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703763",
            "telephone_number": "714-528-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 206",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703763",
            "telephone_number": "714-528-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12777 Valley View St Ste 222",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928452522",
            "country_code": "US",
            "telephone_number": "714-893-7539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 Harbor Blvd Ste B6",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926265121",
            "country_code": "US",
            "telephone_number": "714-592-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIP",
        "first_name": "JUDY",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS104025",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "104025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "714-528-8252",
            "affiliation": "N",
            "address_1": "1041 E Yorba Linda Blvd Ste 206",
            "city": "Placentia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928703763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pancho Yarra
• Jay Wallace Yeager, COTA
• Margalit Yehuda, M.S
• Judy Yen, LMFT
• Edward Yi
• Tina Yip, COTA
• Byung H Yoo
• Denise Yoshihara
• Young Jun DDS MD Inc
• Yousefi Dental Group Placentia Inc

• Pediatric Dentistry in Placentia, CA
• Providers in Placentia, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.