Individual provider Active NPI

Hui Yu, DMD

  • Dentist
  • Slippery Rock, PA
National Provider Identifier
1639734882
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS042205 Issued in PA
Practice address
340 Franklin St
Slippery Rock, PA 16057-1164
Phone
(724) 794-2000
NPI assigned
May 3, 2019
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X DS042205 PA Primary

Addresses

Primary practice location

340 Franklin St
Slippery Rock, PA 16057-1164

Mailing address

340 Franklin St
Slippery Rock, PA 16057-1164
Phone (724) 794-2000

Other practice location 1

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-2994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190925002539 OH Order and Referring Only - DentistPractitioner - Dentist 4082944533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS042205PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
David L Gordley DDS LLC Dentist CurrentSince Aug 16, 2020 Accepting new patients
Tower Anesthesia and Pain Solutions, Inc PastSince Aug 16, 2020 Accepting new patients

Locations

340 Franklin St
Slippery Rock, PA 16057
Phone (724) 342-5905

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1639734882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 FRANKLIN ST",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571164",
            "telephone_number": "724-794-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FRANKLIN ST",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160571164",
            "telephone_number": "724-794-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041006",
            "country_code": "US",
            "telephone_number": "330-480-2994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "HUI",
        "name_prefix": "Miss",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slippery Rock, PA

Sources for this page

Verify at the official NPI Registry.