NPIMap

Organization Active NPI

Nelson T. Yen DDS, Ms Inc.

  • Periodontics
  • Fullerton, CA
National Provider Identifier
1538254396
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
46231 Issued in CA
Legal business name
NELSON T. YEN DDS, MS INC.
Practice address
220 Laguna Rd
Suite 3
Fullerton, CA 92835-2523
Phone
(714) 441-0436
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Dr. Nelson T YenNPI 1245330091
Title
Employer
Phone
(714) 381-4699

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 29240 CA
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 46231 CA Primary

Addresses

Primary practice location

220 Laguna Rd
Suite 3
Fullerton, CA 92835-2523

Mailing address

130 Laguna Rd Ste B
Fullerton, CA 92835-3650
Phone (714) 441-0436

National Provider Directory

National Provider Directory

Locations

130 Laguna Rd
Ste B
Fullerton, CA 92835
Phone (714) 441-0436

220 Laguna Rd
Ste 3
Fullerton, CA 92835
Phone (714) 441-0436

Practitioners & affiliated clinicians

Practitioners 2

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1538254396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LAGUNA RD STE B",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353650",
            "telephone_number": "714-441-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LAGUNA RD",
            "address_2": "SUITE 3",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352523",
            "telephone_number": "714-441-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON T. YEN DDS, MS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "714-381-4699",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "29240",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "46231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.