Individual provider Active NPI

Sejeong Yeo, DDS

  • Dentist
  • Henderson, NV
National Provider Identifier
1891460523
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7539TU Issued in NV
Practice address
175 N Stephanie St Ste 170
Henderson, NV 89074-8998
Phone
(702) 997-5958
NPI assigned
Aug 13, 2021
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7539TU NV Primary

Addresses

Primary practice location

175 N Stephanie St Ste 170
Henderson, NV 89074-8998

Mailing address

2312 N Green Valley Pkwy Apt 1025
Henderson, NV 89014-3111
Phone (719) 321-6474

Other practice location 1

3519 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4598
Phone (702) 529-0321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7539TUNVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Quinn Stephanie Dental Group, Professional Corporation PastSince Aug 15, 2021 Accepting new patients
Quinn Dentists of St. Rose, PC Dentist PastSince Aug 11, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1891460523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 N GREEN VALLEY PKWY APT 1025",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890143111",
            "telephone_number": "719-321-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N STEPHANIE ST STE 170",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890748998",
            "telephone_number": "702-997-5958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3519 Saint Rose Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524598",
            "country_code": "US",
            "telephone_number": "702-529-0321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEO",
        "first_name": "SEJEONG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7539TU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.