Active NPI
Petrus Shiu Lun Yeung, DMD
- Dentist
- Houston, TX
National Provider Identifier
1750538518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24866
- Practice address
- 2528 Sunset Blvd
Houston, TX 77005-1434 - Phone
- (713) 529-5656
- NPI assigned
- Aug 25, 2008
- Last updated
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 24866 | TX | Primary |
Addresses
Primary practice location
2528 Sunset Blvd
Houston, TX 77005-1434
Mailing address
2528 Sunset Blvd
Houston, TX 77005-1434
Phone (713) 529-5656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2049649 | Medicaid | TX |
Other names 1
- Dr. Petrus Shiu Lun Yeung
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240102002663 | TX | Order and Referring Only - Dentist | 7810289204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24866 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petrus Shiulun Yeung DMD PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1750538518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2528 SUNSET BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770051434",
"telephone_number": "713-529-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2528 SUNSET BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770051434",
"telephone_number": "713-529-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEUNG",
"first_name": "PETRUS",
"middle_name": "SHIU LUN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "24866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2049649",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PETRUS",
"last_name": "YEUNG",
"middle_name": "SHIU LUN",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.