Individual provider Active NPI

Jocelyn Estrella Yu, DDS

  • Pediatric Dentistry
  • Little Elm, TX
National Provider Identifier
1679574289
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
21237 Issued in TX
Practice address
2401 Little Elm Pkwy Ste 1100
Little Elm, TX 75068-2076
Phone
(972) 370-9588
Fax
(972) 370-9587
NPI assigned
Aug 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 21237 TX Primary

Addresses

Primary practice location

2401 Little Elm Pkwy Ste 1100
Little Elm, TX 75068-2076

Mailing address

2401 Little Elm Parkway
1100
Little Elm, TX 75068
Phone (972) 370-9588

Other identifiers 2

IdentifierTypeStateIssuer
170633501MedicaidTX
21237OtherTXSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21237TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jocelyn E. Yu, D.D.S., PLLC Pediatric Dentistry CurrentSince Apr 17, 2022 Accepting new patients

Locations

2401 Little Elm Pkwy
Ste 1100
Little Elm, TX 75068
Phone (972) 370-9588

6053 Main St
Ste 115
The Colony, TX 75056

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1679574289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 LITTLE ELM PARKWAY",
            "address_2": "1100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "75068",
            "telephone_number": "972-370-9588",
            "fax_number": "972-370-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 LITTLE ELM PKWY STE 1100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682076",
            "telephone_number": "972-370-9588",
            "fax_number": "972-370-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "JOCELYN",
        "middle_name": "ESTRELLA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170633501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "21237",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.