NPIMap

Organization Active NPI

Duan Yu DDS a Professional Corporation

  • General Practice Dentistry
  • Oxnard, CA
National Provider Identifier
1669631156
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53962 Issued in CA
Legal business name
DUAN YU DDS A PROFESSIONAL CORPORATION
Practice address
449 W 5TH St
Oxnard, CA 93030-7049
Phone
(805) 483-6006
NPI assigned
Jun 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Mr. Duan Yu, D.D.S.NPI 1508952839
Title
Owner
Phone
(310) 254-8561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 53962 CA Primary

Addresses

Primary practice location

449 W 5TH St
Oxnard, CA 93030-7049

Mailing address

1908 Seabreeze St
Newbury Park, CA 91320-6570
Phone (310) 254-8561

National Provider Directory

National Provider Directory

Locations

449 W 5th St
Oxnard, CA 93030
Phone (805) 483-6006

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1669631156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 SEABREEZE ST",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206570",
            "telephone_number": "310-254-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 W 5TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307049",
            "telephone_number": "805-483-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUAN YU DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "DUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-254-8561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.