Active NPI
Christopher Yu, DMD
- Dentist
- Coon Rapids, MN
National Provider Identifier
1811567480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14612
- Practice address
- 3570 River Rapids Dr NW
Coon Rapids, MN 55448-4100 - Phone
- (952) 529-3175
- NPI assigned
- Jun 28, 2021
- 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 | D14612 | MN | Primary |
Addresses
Primary practice location
3570 River Rapids Dr NW
Coon Rapids, MN 55448-4100
Mailing address
3570 River Rapids Dr NW
Coon Rapids, MN 55448-4100
Phone (215) 828-9967
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
| License | State | Type | Specialty |
|---|---|---|---|
| D14612 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1811567480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 RIVER RAPIDS DR NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554484100",
"telephone_number": "215-828-9967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 RIVER RAPIDS DR NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554484100",
"telephone_number": "952-529-3175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-28",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D14612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.