JIM YU, D.D.S. PROFESSIONAL DENTAL CORPORATION (NPI# 1255738787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255738787 |
| Entity Type | Organization |
| Organization Name | JIM YU, D.D.S. PROFESSIONAL DENTAL CORPORATION |
| Other Organization Name | TRACY ORCHARD DENTAL CARE |
| Practice Address |
2231 W Grant Line Rd Ste 134 Tracy CA 95377-7325 |
| Practice Telephone | 2092272579 |
| Mailing Telephone | 2092272579 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | LINDSAY BEARDEN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405699 |
| Is Organization Subpart | Y |
| Parent Organization Name | JIM YU, D.D.S. PROFESSIONAL DENTAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Tracy Orchard Dental Care | Doing Business As Name - Organization |
| Street Address |
2231 W GRANT LINE RD STE 134 |
| City | TRACY |
| State | CA |
| Zip Code | 95377-7325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| Find all providers in zip 95377 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922641042 | Amrit S Basi Dmd Corp | Dentist | 929 N Central Ave Ste D, Tracy, CA 95376-3965 | 2019-10-21 |
| 1578080628 | Sharanya Chola | Dentist | 2600 S Tracy Blvd Ste 170, Tracy, CA 95376-9111 | 2017-08-29 |
| 1881878197 | Arthur N. Garbutt | Dentist | 23500 Kasson Rd., Tracy, CA 95376 | 2007-12-21 |
| 1740476316 | Western Dental Services, Inc. | Dentist | 2313 N Corral Hollow Rd, Tracy, CA 95376-9401 | 2007-09-18 |
| 1518162825 | Jeffrey Travis Burton | Dentist | Dvi Kasson Rd., Dental Dept, Tracy, CA 95376 | 2007-06-18 |
| 1922214337 | Tracy Family Dental Center | Dentist | 945 Central Ave, Tracy, CA 95376-3950 | 2007-05-15 |
| 1003031386 | Carlos E Sanchez | Dentist | 1433 N Tracy Blvd, Tracy, CA 95376-3445 | 2007-04-13 |
| 1588786909 | Michael Richard Earle | Dentist | 929 Central Ave, Suite D, Tracy, CA 95376-3950 | 2007-04-05 |
| 1285756809 | Emil Guansing Villaroman Jr. | Dentist | 3254 N Tracy Blvd, Tracy, CA 95376-1747 | 2007-04-04 |
| 1700902863 | Lance M Matsune | Dentist | 612 W 11th St Ste 201, Tracy, CA 95376-3859 | 2007-03-21 |
| Find all providers in TRACY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.