Active NPI
Serena Yu, DMD
- Dentist
- Waianae, HI
National Provider Identifier
1699020396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 200
- Practice address
- 86-260 Farrington Highway
Waianae, HI 96792 - Phone
- (401) 699-3992
- NPI assigned
- Jul 18, 2012
- 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 | 200 | HI | Primary |
Addresses
Primary practice location
86-260 Farrington Highway
Waianae, HI 96792
Mailing address
86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone (401) 699-3992
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1699020396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86-260 FARRINGTON HWY",
"city": "WAIANAE",
"state": "HI",
"postal_code": "967923128",
"telephone_number": "401-699-3992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86-260 FARRINGTON HIGHWAY",
"city": "WAIANAE",
"state": "HI",
"postal_code": "96792",
"telephone_number": "401-699-3992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "SERENA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waianae, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.