Active NPI
Yizhou Zhu, DDS
- Dentist
- Clackamas, OR
National Provider Identifier
1689025975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10833
- Practice address
- 13023 SE 84TH Ave Ste a
Clackamas, OR 97015-9798 - Phone
- (503) 353-9992
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60665299 | WA | |
| Dentist | 122300000X | D10833 | OR | Primary |
Addresses
Primary practice location
13023 SE 84TH Ave Ste a
Clackamas, OR 97015-9798
Mailing address
1481 NW 13TH Ave Apt 838
Portland, OR 97209-3413
Phone (626) 823-7350
Other practice location 1
1405 Rexford Ave
Pasadena, CA 91107-1618
Phone (626) 823-7350
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 |
|---|---|---|---|
| D10833 | OR | MD | Dentist |
| DE60665299 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jyz DDS LLC | Current | Accepting new patients |
Locations
4413 SE Cesar E Chavez Blvd
Portland, OR 97202
Phone (503) 777-2284
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.
-
- Dental Clinic/Center
- Portland, OR
- NPI 1275127227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613865600000",
"number": "1689025975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1481 NW 13TH AVE APT 838",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972093413",
"telephone_number": "626-823-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13023 SE 84TH AVE STE A",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159798",
"telephone_number": "503-353-9992"
}
],
"practiceLocations": [
{
"address_1": "1405 Rexford Ave",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911071618",
"country_code": "US",
"telephone_number": "626-823-7350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHU",
"first_name": "YIZHOU",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-28",
"last_updated": "2021-02-21",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60665299",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D10833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.