NPIMap

Organization Active NPI

Dfas-JFLL/in

  • Dental Clinic/Center
National Provider Identifier
1639528441
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DFAS-JFLL/IN
Practice address
238 Brookley Avenue
Building 1300
Apo, AA 20032-0101
Phone
(888) 999-1212
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Yuehang Su, DMD
Title
Dentist
Phone
(321) 276-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X VA Primary

Addresses

Primary practice location

238 Brookley Avenue
Building 1300
Apo, AA 20032-0101

Mailing address

238 Brookley Ave SW
Building 1300
Bolling Afb, DC 20032-7704
Phone (888) 999-1212

National Provider Directory

National Provider Directory
Tax ID family
Dfas4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

238 Brookley Ave SW
Bldg 1300
Bolling AFB, DC 20032
Phone (202) 404-7742

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": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1639528441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE SW",
            "address_2": "BUILDING 1300",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327704",
            "telephone_number": "888-999-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "238 BROOKLEY AVENUE",
            "address_2": "BUILDING 1300",
            "city": "APO",
            "state": "AA",
            "postal_code": "200320101",
            "telephone_number": "888-999-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFAS-JFLL/IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "SU",
        "authorized_official_first_name": "YUEHANG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "321-276-4231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.