Lisa Yu DDS PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60025173 Issued in WA

Legal business name

LISA YU DDS PC

Doing business as

Kids Smile Factoria Children Dentistry

Practice address

12826 SE 40TH LN Ste 101
Bellevue, WA 98006-5266

Phone

(425) 679-6826

Fax

(425) 679-6234

NPI assigned

Aug 31, 2011

Last updated

Aug 31, 2011By 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. Lisa Euisuk Yu, DDS

Title

President

Phone

(425) 679-6826

Specialties & licenses 1

Addresses

Other names 1

• KIDS SMILE FACTORIA CHILDREN DENTISTRY Doing business as

Locations

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1841571254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065266",
            "telephone_number": "425-679-6826",
            "fax_number": "425-679-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12826 SE 40TH LN STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980065266",
            "telephone_number": "425-679-6826",
            "fax_number": "425-679-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA YU DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "EUISUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-679-6826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60025173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS SMILE FACTORIA CHILDREN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Link Chiropractic PLLC (Link Chiropractic)
• Paula J Lins, P.A.-C
• Nancy L. Linscott, M.D.
• John H Lintakoon, DDS
• Lisa M. Kajimura, DDS
• Arienna Lisenby
• Shayna Litman
• Lara Lee Litov, N.D.
• Sarah Anne Little
• Thomas Littman, PH.D.

• Pediatric Dentistry in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.