Active NPI
Sandra H. Yu, D.M.D.
- Dentist
- Las Vegas, NV
National Provider Identifier
1801046222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5747
- Practice address
- 7670 W Lake Mead Blvd
130
Las Vegas, NV 89128-6649 - Phone
- (702) 312-2273
- Fax
- (702) 995-0116
- NPI assigned
- Sep 22, 2008
- Sex
- Female
- 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 | 5747 | NV | Primary |
Addresses
Primary practice location
7670 W Lake Mead Blvd
130
Las Vegas, NV 89128-6649
Mailing address
3755 Broadmead St
Las Vegas, NV 89147-1052
Phone (702) 580-6459
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1801046222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3755 BROADMEAD ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891471052",
"telephone_number": "702-580-6459",
"fax_number": "702-252-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7670 W LAKE MEAD BLVD",
"address_2": "130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891286649",
"telephone_number": "702-312-2273",
"fax_number": "702-995-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "SANDRA",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "5747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.