Individual provider Active NPI

Paul Yew, DDS

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1760613285
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27055 Issued in TX
Practice address
6605 McCart Ave
Fort Worth, TX 76133-5633
Phone
(817) 263-4653
Fax
(817) 292-2628
NPI assigned
Jul 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27055 TX Primary
Dentist 122300000X 054484 NY

Addresses

Primary practice location

6605 McCart Ave
Fort Worth, TX 76133-5633

Mailing address

6605 McCart Ave
Fort Worth, TX 76133-5633
Phone (817) 263-4653

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

LicenseStateTypeSpecialty
27055TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Auto Injury Pros Past Accepting new patients
Gold Star Dental, PLLC Past Accepting new patients

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": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1760613285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335633",
            "telephone_number": "817-263-4653",
            "fax_number": "817-292-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335633",
            "telephone_number": "817-263-4653",
            "fax_number": "817-292-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEW",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-31",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27055",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.