Individual provider Active NPI

Esther Yi

  • Dentist
  • Sandusky, OH
National Provider Identifier
1669230629
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.028011 Issued in OH
Practice address
1912 Hayes Ave
Sandusky, OH 44870-4736
Phone
(617) 636-6828
NPI assigned
Mar 13, 2024
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.028011 OH Primary

Addresses

Primary practice location

1912 Hayes Ave
Sandusky, OH 44870-4736

Mailing address

1912 Hayes Ave
Sandusky, OH 44870-4736

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
I20250707000832 OH Order and Referring Only - DentistPractitioner - Dentist 4880108596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.028011OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients
Family Health Services of Erie County Past Accepting new patients

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1669230629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "617-636-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "ESTHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.028011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.