Individual provider Active NPI

Rui Yu, DMD

  • Pediatric Dentistry
  • Issaquah, WA
National Provider Identifier
1528476108
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DE61229601 Issued in WA
Practice address
1135 NW Gilman Blvd Ste F5
Issaquah, WA 98027-5345
Phone
(425) 392-6455
NPI assigned
Jul 28, 2014
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DE61229601 WA Primary

Addresses

Primary practice location

1135 NW Gilman Blvd Ste F5
Issaquah, WA 98027-5345

Mailing address

1135 NW Gilman Blvd Ste F5
Issaquah, WA 98027-5345
Phone (425) 392-6455

Other names 1

  • Dr. Yuri Yu Other name

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

LicenseStateTypeSpecialty
DE61229601WAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yu DMD PLLC Pediatric Dentistry CurrentSince Apr 6, 2023 Accepting new patients
Southcenter Children's Dentistry Pediatric Dentistry PastSince Jun 1, 2022 Accepting new patients

Locations

1135 NW Gilman Blvd
Ste F5
Issaquah, WA 98027
Phone (425) 392-6455

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1528476108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 NW GILMAN BLVD STE F5",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275345",
            "telephone_number": "425-392-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 NW GILMAN BLVD STE F5",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275345",
            "telephone_number": "425-392-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "RUI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE61229601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YURI",
            "last_name": "YU",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.