Yelton Jung Endodontics Group

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

YELTON JUNG ENDODONTICS GROUP

Practice address

1901 FM 423 Ste 200
Frisco, TX 75033-4729

Phone

(214) 609-1415

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Jae Jung

Title

Partner

Phone

(214) 609-1415

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Yelton Jung Endodontics Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Yelton Jung Endodontics Group

  • Endodontics
  • Mansfield, TX
  • NPI 1528608817
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan David Blacher, D.M.D., M.S.D.

  • Endodontics
  • Frisco, TX
  • NPI 1598146680
  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1639719925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 FM 423 STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FM 423 STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334729",
            "telephone_number": "214-609-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELTON JUNG ENDODONTICS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "214-609-1415"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1558591511",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Hoyle Yearwood, PNP
• Latha Yedlapalli
• Sri Venkateswara CH Yedlapalli, MD
• Shihwei Patricia Yeh, O.D.
• Yellowpurple LLC
• Sruthi Yeturu, MD
• Chelmin Yeu, O.D.
• Yin'S Clinic-Acupuncture & Integrated Medcine
• Josephine Yip, DMD
• Monica Yohannes

• Endodontics in Frisco, TX
• Providers in Frisco, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.