Annie S Yu, DDS, FAGD

Primary specialty

DentistTaxonomy code 122300000X

License

14299 Issued in MD

Practice address

5454 Wisconsin Ave Ste 1035
Chevy Chase, MD 20815-6918

Phone

(240) 743-4421

NPI assigned

Jul 25, 2007

Reactivated

Aug 22, 2013

Last updated

Aug 30, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD

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

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.

• Avant Dentistry LLC

  • Dental Clinic/Center
  • Chevy Chase, MD
  • NPI 1427493493
  NPD (past) Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1548460736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1035",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156918",
            "telephone_number": "240-743-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1035",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156918",
            "telephone_number": "240-743-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "ANNIE",
        "middle_name": "S",
        "credential": "DDS, FAGD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2013-08-30",
        "deactivation_date": "2007-09-25",
        "reactivation_date": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1000631",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "14299",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401412020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Younan, M.D.
• Carol Jeanne Young, CRNA
• Emma Young, LCSW-C
• Your Health Concierge, Inc.
• Cheryl Yousif, OTR, CHT
• Lemuel Yutzy, LCSW-C
• Rachel Yutzy, LICSW
• Wendy Joan Zack, PHD
• Meghan Roye Zampardi, MSPT
• Joseph Zappala

• Dentist in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.