Individual provider Active NPI

Dexter Yee, DMD

  • Pediatric Dentistry
  • Folsom, CA
National Provider Identifier
1720465321
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
101191 Issued in CA
Practice address
1851 Iron Point Rd Ste 200
Folsom, CA 95630-8853
Phone
(916) 235-8566
NPI assigned
May 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 101191 CA Primary

Addresses

Primary practice location

1851 Iron Point Rd Ste 200
Folsom, CA 95630-8853

Mailing address

1851 Iron Point Rd Ste 200
Folsom, CA 95630-8853
Phone (916) 235-8566

Other practice location 1

6522 Lonetree Blvd
Rocklin, CA 95765-5874
Phone (916) 773-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905004168 CA Order and Referring Only - DentistPractitioner - Dentist 4284940966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sue & Yee Dental, a General Partnership Pediatric Dentistry CurrentSince Dec 15, 2024 Accepting new patients
Weideman-Tse Dental Corporation Pediatric Dentistry PastSince Nov 1, 2021 Accepting new patients

Locations

1851 Iron Point Rd
Ste 200
Folsom, CA 95630
Phone (916) 235-8566

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1720465321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 IRON POINT RD STE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308853",
            "telephone_number": "916-235-8566",
            "fax_number": "916-235-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 IRON POINT RD STE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308853",
            "telephone_number": "916-235-8566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6522 Lonetree Blvd",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "957655874",
            "country_code": "US",
            "telephone_number": "916-773-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEE",
        "first_name": "DEXTER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-04",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "101191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.