Taryn CK Yee-Paiva, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD5029 Issued in NM

Practice address

6810 Menaul Blvd NE Ste B
Albuquerque, NM 87110-3725

Phone

(505) 872-1100

NPI assigned

Sep 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 and National Provider Directory roles.

• Albuquerque Modern Dentists, LLC

  dba Albuquerque Modern Dentists

  • General Practice Dentistry
  • Albuquerque, NM
  • NPI 1780957969
  NPD (past)
• Cherry Creek Modern Dentistry, LLP

  dba Cherry Creek Modern Dentistry

  • General Practice Dentistry
  • Glendale, CO
  • NPI 1508197732
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1881029668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 MENAUL BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103725",
            "telephone_number": "808-282-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 MENAUL BLVD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103725",
            "telephone_number": "505-872-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CO",
            "postal_code": "802463003",
            "country_code": "US",
            "telephone_number": "303-758-0575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEE-PAIVA",
        "first_name": "TARYN",
        "middle_name": "CK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62641",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00202360",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Yipeng Ye, MD
• Olivia Juanita Yeaman, FNP-BC
• William Ayden Yeaman
• Yolanda Yeaman
• Harley Lawson Yearout, LSAA
• Ellen Fung Tau Yee, MD
• Joyce Yee
• Jenny C Yeh-Nelson, PT
• Kimberly Yeh
• Emma Brookes McCue Yela, FNP-C

• General Practice Dentistry in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.