Yuji Robert Ito, C.P.O.

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

1420 Ellen St
Monroe, NC 28112-5173

Phone

(704) 635-7029

Fax

(704) 635-7495

NPI assigned

Apr 4, 2007

Last updated

Oct 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1710009519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 E 34TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051571",
            "telephone_number": "704-957-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 ELLEN ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125173",
            "telephone_number": "704-635-7029",
            "fax_number": "704-635-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITO",
        "first_name": "YUJI",
        "middle_name": "ROBERT",
        "credential": "C.P.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795313",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "674650001",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702811",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uyiekpen Phillip Igbinadolor, D.M.D
• Infinite Wellness of the Carolinas
• Inreach
• Inreach
• Arloishia Renee Israel
• J David Aycock, OD PA
• J Kendall Snow DDS, PLLC (Snow Endodontics)
• Brittany Amber Jackson, P.A.C
• Mario Jackson
• Melissa Sharee Jackson, DMD

• Prosthetist in Monroe, NC
• Providers in Monroe, NC by specialty
• Prosthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.