Individual provider Active NPI

Benjamin Yu Kee

  • General Practice Dentistry
  • Pasadena, TX
National Provider Identifier
1982125720
Registry record updated Mar 18, 2018
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33216 Issued in TX
Practice address
3570 Spencer Hwy
Pasadena, TX 77504-1110
Phone
(626) 863-3600
NPI assigned
Jul 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 33216 TX Primary

Addresses

Primary practice location

3570 Spencer Hwy
Pasadena, TX 77504-1110

Mailing address

5151 Edloe St Apt 11306
Houston, TX 77005-1188

Other names 1

  • Yu Qi Former name

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
I20180201000272 TX Order and Referring Only - DentistPractitioner - Dentist 6204196702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521331200000",
    "number": "1982125720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 EDLOE ST APT 11306",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041110",
            "telephone_number": "626-863-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEE",
        "first_name": "BENJAMIN",
        "middle_name": "YU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-01",
        "last_updated": "2018-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YU",
            "last_name": "QI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.