Active NPI
Johann M Yi, DDS
- Dentist
- Bellevue, WA
National Provider Identifier
1730281106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- WA8211
- Practice address
- 1515 116TH Ave NE
#206
Bellevue, WA 98004 - Phone
- (425) 454-1225
- Fax
- (425) 454-3662
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | WA8211 | WA | Primary |
Addresses
Primary practice location
1515 116TH Ave NE
#206
Bellevue, WA 98004
Mailing address
1515 116TH Ave NE
#206
Bellevue, WA 98004
Phone (425) 454-1225
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 |
|---|---|---|---|
| WA8211 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johann Yi DDS PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481760000000",
"number": "1730281106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 116TH AVE NE",
"address_2": "#206",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-454-1225",
"fax_number": "425-454-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 116TH AVE NE",
"address_2": "#206",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-454-1225",
"fax_number": "425-454-3662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YI",
"first_name": "JOHANN",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2016-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "WA8211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.