Yi Xu Dental Office

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52020 Issued in CA

Legal business name

YI XU DENTAL OFFICE

Practice address

4155 Moorpark Ave Ste 2
San Jose, CA 95117-1714

Phone

(408) 296-2188

Fax

(408) 296-9688

NPI assigned

Mar 12, 2007

Last updated

Jul 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yi Xu, DDSNPI 1184736993

Title

Owner

Phone

(408) 296-2188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yi Xu, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1184736993
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1821120205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-296-2188",
            "fax_number": "408-296-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-296-2188",
            "fax_number": "408-296-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YI XU DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-296-2188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Yeung, LAC
• Yukking Yeung
• Sabrina Yglesias
• Yi Acupuncture Professional Corporation
• Yi Sheng Acupuncture
• Anna Yi, DDS
• Caroline Young Yi, CRNA
• Dae Ik Yi, MD
• Elizabeth Yi
• Joanne Yi

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.