Yao Qi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.034033 Issued in IL

Practice address

1201 Broadway SPC E215
Saugus, MA 01906-4276

Phone

(617) 756-1928

Fax

(888) 832-8267

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Lux Dental for Kids

  • Pediatric Dentistry
  • Saugus, MA
  • NPI 1417204884
  NPD (past)

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1942946561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROADWAY SPC E215",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064276",
            "telephone_number": "617-756-1928",
            "fax_number": "888-832-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROADWAY SPC E215",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019064276",
            "telephone_number": "617-756-1928",
            "fax_number": "888-832-8267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QI",
        "first_name": "YAO",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859400",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.034033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Joseph Powers, R.PH.
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• Psychiatric Mental Health Services
• Lisa J Pugh, NP
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• Colm Quigley, O.D.
• Kevin Pablo Quinde
• Alex Rapoport

• Dentist in Saugus, MA
• Providers in Saugus, MA by specialty
• Dentist in Massachusetts

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