Timothy Yu, DMD, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D07612 Issued in AZ

Practice address

3030 N 50TH St
Phoenix
Phoenix, AZ 85018-7962

Phone

(201) 744-4998

NPI assigned

Nov 13, 2007

Last updated

Aug 23, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Dynamic Dental Health Associates of Arizona

  dba Red Mountain Family Dental

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1750712741
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1851571210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N 50TH ST",
            "address_2": "PHOENIX",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N 50TH ST",
            "address_2": "PHOENIX",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187962",
            "telephone_number": "201-744-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "TIMOTHY",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D07612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Ann V Yu, OTD, OTR/L
• Kevin T Yu, MD
• Nathan Yung-Chuen Yu, M.D.
• Terrence T. Yu, D.D.S.
• Tianrong Yu, DO
• Chen Yuan, D.M.D.
• Hao Hao Yuan, RN, CPNP, MSN
• Jimmy Yuan, DC
• Justin Simon Yuan, M.D.
• Cristobal Yubeta Jr., CRNA

• Orthodontics and Dentofacial Orthopedics Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.