Stephanie Yi DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DE00011050 Issued in WA

Legal business name

STEPHANIE YI DDS LLC

Practice address

1717 S 324TH St
Suite a
Federal Way, WA 98003-8500

Phone

(253) 815-0093

NPI assigned

Apr 21, 2014

Organization subpart

No

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

Authorized official

Name

Stephanie Yi, DDS

Title

Sole Member

Phone

(206) 954-0523

Specialties & licenses 1

Addresses

Other names 1

• Northwest dentistry Doing business as

Locations

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1588084289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S 324TH ST",
            "address_2": "SUITE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S 324TH ST",
            "address_2": "SUITE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038500",
            "telephone_number": "253-815-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE YI DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "206-954-0523",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00011050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.