Ming Sheng Yu, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30.023003 Issued in OH

Practice address

12906 State Route 664 S
Suite A7
Logan, OH 43138-9260

Phone

(567) 224-8745

NPI assigned

May 24, 2007

Last updated

Nov 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpha Dental

  • Oral and Maxillofacial Surgery (Dentist)
  • Logan, OH
  • NPI 1265740625
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1841401932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12906 STATE ROUTE 664 S",
            "address_2": "SUITE A7",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389260",
            "telephone_number": "567-224-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12906 STATE ROUTE 664 S",
            "address_2": "SUITE A7",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389260",
            "telephone_number": "567-224-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "MING",
        "middle_name": "SHENG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.023003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076228",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha H Woods, RPH
• Emily Jestinah Wray, LPN
• Andrea Wright, O.T.R./L
• Jayne A Yates, RN
• Robert Logan Yoho, PHARMD
• Debra Zaayer
• Harrison J. Zeitler, MD
• Erika Zlatkind, RPH TECH

• Oral and Maxillofacial Surgery (Dentist) in Logan, OH
• Providers in Logan, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.