Individual provider Active NPI

Danling Yu, DMD

  • General Practice Dentistry
  • Lewisville, TX
National Provider Identifier
1902336613
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33681 Issued in TX
Practice address
1288 W Main St Ste 123
Lewisville, TX 75067-3400
Phone
(972) 221-2220
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33681 TX Primary

Addresses

Primary practice location

1288 W Main St Ste 123
Lewisville, TX 75067-3400

Mailing address

1288 W Main St Ste 123
Lewisville, TX 75067-3400
Phone (972) 221-2220

Other practice location 1

17365 US Highway 441
Mount Dora, FL 32757-6715
Phone (352) 270-3015

Other practice location 2

17365 US Highway 441
Mount Dora, FL 32757-6715
Phone (352) 270-3015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190329001723 TX Order and Referring Only - DentistPractitioner - Dentist 4981970308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Dora Modern Dentistry, PA General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902336613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 W MAIN ST STE 123",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673400",
            "telephone_number": "972-221-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 W MAIN ST STE 123",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673400",
            "telephone_number": "972-221-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17365 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576715",
            "country_code": "US",
            "telephone_number": "352-270-3015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17365 US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Mount Dora",
            "state": "FL",
            "postal_code": "327576715",
            "country_code": "US",
            "telephone_number": "352-270-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "DANLING",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.