Active NPI
Allison Shelby Yen, DDS, MS
- Periodontics
- Culver City, CA
National Provider Identifier
1598071516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 56475
- Practice address
- 7709 Hannum Ave
Culver City, CA 90230-6164 - Phone
- (630) 596-7235
- NPI assigned
- Aug 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 56475 | CA | Primary |
Addresses
Primary practice location
7709 Hannum Ave
Culver City, CA 90230-6164
Mailing address
7709 Hannum Ave
Culver City, CA 90230-6164
Phone (630) 596-7235
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56475 | CA | MD | Periodontist |
Interoperability endpoints
- ayen@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292457600000",
"number": "1598071516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 HANNUM AVE",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306164",
"telephone_number": "630-596-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7709 HANNUM AVE",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306164",
"telephone_number": "630-596-7235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEN",
"first_name": "ALLISON",
"middle_name": "SHELBY",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-27",
"last_updated": "2010-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "56475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.