Organization Active NPI

Stephen Yu DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Encino, CA
National Provider Identifier
1588079990
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
31144 Issued in CA
Legal business name
STEPHEN YU DDS INC
Practice address
17815 Ventura Blvd Ste 212
Encino, CA 91316-3655
Phone
(818) 708-4909
NPI assigned
Jun 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Dr. Stephen Yu, DDSNPI 1780644724
Title
President
Phone
(818) 708-4909

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 31144 CA Primary

Addresses

Primary practice location

17815 Ventura Blvd Ste 212
Encino, CA 91316-3655

Mailing address

17815 Ventura Blvd Ste 212
Encino, CA 91316-3655
Phone (818) 708-4909

National Provider Directory

National Provider Directory

Locations

17815 Ventura Blvd
Ste 212
Encino, CA 91316
Phone (818) 708-4909

Practitioners & affiliated clinicians

Practitioners 1

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": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1588079990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD STE 212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163655",
            "telephone_number": "818-708-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17815 VENTURA BLVD STE 212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163655",
            "telephone_number": "818-708-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN YU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-708-4909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "31144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.