Active NPI
Harry Yu He, DDS
- General Practice Dentistry
- Philadelphia, PA
National Provider Identifier
1679794440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50754
- Practice address
- 10108 Bustleton Ave
Philadelphia, PA 19116-3704 - Phone
- (626) 272-2883
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50754 | CA | Primary |
| General Practice Dentistry | 1223G0001X | DS038199 | PA | |
| General Practice Dentistry | 1223G0001X | G1-0001311 | DE |
Addresses
Primary practice location
10108 Bustleton Ave
Philadelphia, PA 19116-3704
Mailing address
4040 Presidential Blvd
1909
Philadelphia, PA 19131-1727
Phone (626) 272-2883
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
| License | State | Type | Specialty |
|---|---|---|---|
| G1-0001311 | DE | MD | General Practice Dentistry |
| DS038199 | PA | MD | General Practice Dentistry |
| 50754 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345334400000",
"number": "1679794440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 PRESIDENTIAL BLVD",
"address_2": "1909",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191311727",
"telephone_number": "626-272-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10108 BUSTLETON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191163704",
"telephone_number": "626-272-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HE",
"first_name": "HARRY",
"middle_name": "YU",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2012-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50754",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS038199",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DE",
"license": "G1-0001311",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.