Ycmik PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

YCMIK PLLC

Practice address

1325 W 16TH St Ste 4
Yuma, AZ 85364-4496

Phone

(928) 782-3839

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Chang Y Kim, DMD

Title

President

Phone

(928) 782-3839

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1760035877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W 16TH ST STE 4",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W 16TH ST STE 4",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644496",
            "telephone_number": "928-782-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YCMIK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHANG",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-782-3839",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Wright
• Bilal Wurie
• Gina Wyatt
• Melissa Anne Wyatt, M.S.
• Gregory Yang, M.D.
• James Robert Yee, PHARMD
• Prashanth Reddy Yella, MD
• Tzu Chuan Yen
• Sowjanya Yenigalla
• Sheena Yoakum

• Dentist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.