Active NPI
Yuri D Majul, D,M,D,
- Dentist
- Millsboro, DE
National Provider Identifier
1669628350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- G10001260
- Practice address
- 26670 Centerview Dr
Unit 19
Millsboro, DE 19966-3584 - Phone
- (302) 297-3750
- Fax
- (302) 297-0355
- NPI assigned
- Aug 13, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | G10001260 | DE | Primary |
Addresses
Primary practice location
26670 Centerview Dr
Unit 19
Millsboro, DE 19966-3584
Mailing address
21095 Reynolds Pond Rd
Ellendale, DE 19941-2644
Phone (302) 465-1376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669628350 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 18, 2015 through May 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G10001260 | DE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1669628350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21095 REYNOLDS POND RD",
"city": "ELLENDALE",
"state": "DE",
"postal_code": "199412644",
"telephone_number": "302-465-1376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26670 CENTERVIEW DR",
"address_2": "UNIT 19",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199663584",
"telephone_number": "302-297-3750",
"fax_number": "302-297-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAJUL",
"first_name": "YURI",
"middle_name": "D",
"credential": "D,M,D,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DE",
"license": "G10001260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669628350",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.