Sequoia Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

63460 Issued in CA

Legal business name

SEQUOIA PEDIATRIC DENTISTRY

Practice address

2946 Broadway
Redwood City, CA 94062-1510

Phone

(415) 730-2818

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jack Yeung, DDS

Title

Pediatric Dentist

Phone

(415) 730-2818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1801346317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 BROADWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 BROADWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621510",
            "telephone_number": "415-730-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "415-730-2818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "63460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sequoia Health Services
• Sequoia Hospital
• Sequoia Hospital Nuclear Medicine Practice
• Sequoia Hospital Pharmacy
• Sequoia Medical Associates
• Sequoia Union High School District
• Kathryn Serra
• Service League of San Mateo County
• Eric Jason Set, PHARM.D.
• Lisbette Sevilla Raygoza

• Pediatric Dentistry in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.