Johann Yi DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JOHANN YI DDS PLLC

Practice address

1515 116TH Avenue NE
Suite 206
Bellevue, WA 98004

Phone

(425) 454-1225

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Jadgev Heir

Title

Ceo/President

Phone

(518) 441-5483

Specialties & licenses 1

Addresses

Other names 1

• Bellevue Dental Care Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Hyodo, DDS

  • Dentist
  • Bellevue, WA
  • NPI 1932319530
  NPD (past)
• Johann M Yi, DDS

  • Dentist
  • Bellevue, WA
  • NPI 1730281106
  NPD (past)

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1821778747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 TRUXEL ROAD",
            "address_2": "SUITE C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 116TH AVENUE NE",
            "address_2": "SUITE 206",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-454-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANN YI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "HEIR",
        "authorized_official_first_name": "JADGEV",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "518-441-5483"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zion Lily Jo, MACP
• Joanna B. Sloan MD
• Mawaddah N Joban
• Aji Kah Jobe, DH
• Valerija Jocic
• Leslie Johannes, M.ED., LMFT
• John C. Brown, OD PS
• John P. Hackett, MD, P.S.
• John S Walsh MD PLLC
• John Teasang Kim, DDS PLLC

• Dentist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.