Active NPI
Jessica Haeun Yi, DMD
- Pediatric Dentistry
- Alpharetta, GA
National Provider Identifier
1699269522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN123608
- Practice address
- 11125 Jones Bridge Rd Ste 200
Alpharetta, GA 30022-0002 - Phone
- (770) 676-1143
- NPI assigned
- Jun 14, 2018
- Last updated
- Sep 22, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS042041 | PA | |
| Pediatric Dentistry | 1223P0221X | 22DI02794900 | NJ | |
| Pediatric Dentistry | 1223P0221X | DN123608 | GA | Primary |
Addresses
Primary practice location
11125 Jones Bridge Rd Ste 200
Alpharetta, GA 30022-0002
Mailing address
11125 Jones Bridge Rd Ste 200
Alpharetta, GA 30022-0002
Phone (770) 676-1143
Other practice location 1
1910 Route 70 E Ste 9
Cherry Hill, NJ 08003-2123
Phone (856) 938-1085
Other practice location 2
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 898-6555
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 |
|---|---|---|---|
| DN123608 | GA | MD | Pediatric Dentist |
| 22DI02794900 | NJ | MD | Pediatric Dentist |
| DS042041 | PA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1699269522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11125 JONES BRIDGE RD STE 200",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300220002",
"telephone_number": "770-676-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11125 JONES BRIDGE RD STE 200",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300220002",
"telephone_number": "770-676-1143"
}
],
"practiceLocations": [
{
"address_1": "1910 Route 70 E Ste 9",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080032123",
"country_code": "US",
"telephone_number": "856-938-1085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-898-6555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YI",
"first_name": "JESSICA",
"middle_name": "HAEUN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PA",
"license": "DS042041",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02794900",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN123608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.