Individual provider Active NPI

Youqun Mao, D.D.S., PH.D.

  • General Practice Dentistry
  • Milpitas, CA
National Provider Identifier
1700908944
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46494 Issued in CA
Practice address
226 Barber CT
Milpitas, CA 95035-7915
Phone
(408) 955-9898
Fax
(408) 955-9696
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 46494 CA Primary

Addresses

Primary practice location

226 Barber CT
Milpitas, CA 95035-7915

Mailing address

22393 McClellan Rd
Cupertino, CA 95014-2768
Phone (408) 252-9822

Other names 1

  • Dr. Amy You-Qun Mao Other name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
46494CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700908944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22393 MCCLELLAN RD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142768",
            "telephone_number": "408-252-9822",
            "fax_number": "408-252-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 BARBER CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357915",
            "telephone_number": "408-955-9898",
            "fax_number": "408-955-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAO",
        "first_name": "YOUQUN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MAO",
            "middle_name": "YOU-QUN",
            "prefix": "DR.",
            "credential": "D.D.D., PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.