Active NPI
Priscilla Yeung
- Endodontics
- Chicago, IL
National Provider Identifier
1881813970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Practice address
- 1725 W North Ave
Suite 102
Chicago, IL 60622-2188 - Phone
- (773) 227-1048
- Fax
- (773) 227-3218
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | IL | Primary |
Addresses
Primary practice location
1725 W North Ave
Suite 102
Chicago, IL 60622-2188
Mailing address
1725 W North Ave
Suite 102
Chicago, IL 60622-2188
Phone (773) 227-1048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 27, 2015 through May 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019025399 | IL | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damen North Dental Group LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Chicago, IL
- NPI 1083623201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1881813970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W NORTH AVE",
"address_2": "SUITE 102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222188",
"telephone_number": "773-227-1048",
"fax_number": "773-227-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W NORTH AVE",
"address_2": "SUITE 102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222188",
"telephone_number": "773-227-1048",
"fax_number": "773-227-3218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEUNG",
"first_name": "PRISCILLA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.