YIN CAO (NPI# 1962997023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962997023 |
| Entity Type | Individual |
| Full Name | YIN CAO |
| Credential | DMD |
| Practice Address |
4325 Grand Ave Duluth MN 55807-2730 |
| Mailing Address |
1500 N 34th St Ste 200 Superior WI 54880-4477 |
| Practice Telephone | 2187221497 |
| Practice Fax Number | 2187226239 |
| Mailing Telephone | 7153955380 |
| Mailing Fax Number | 7153942682 |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 1001930 | WI | Dental Providers |
| N | 122300000X | Dentist | D14049 | MN | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
1001930-15 | WI | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D14049 | MN | Dental Providers |
| N | 125J00000X | Dental Therapist | DT22 | MN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3600 Tower Ave, Superior, WI 548805589 | 7153921955 | 7153921935 |
| Street Address |
4325 GRAND AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484875 | Barbara G Hemenway | Family Medicine | 4325 Grand Ave, Duluth, MN 55807-2730 | 2005-08-16 |
| 1457984783 | Kellie Lynn Murphy | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2020-02-14 |
| 1417598079 | Brittany Morgan Hamm | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807-2730 | 2019-10-04 |
| 1609367895 | Susan Marie Johnson | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2018-05-23 |
| 1467993774 | Kristie Hills | Counselor | 4325 Grand Ave, Duluth, MN 55807-2730 | 2017-03-20 |
| 1124569041 | Nicole Shockley | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807-2730 | 2017-03-10 |
| 1457714560 | Alecia Radtke | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-04-05 |
| 1386008449 | Amber Tibbetts | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-04-05 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| 1467813964 | Lisa Ann Robertson | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| Find all providers in zip 55807 | ||||
| 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 |
|---|---|---|---|---|
| 1023677275 | Gabrielle Lina Going | Dentist | 2405 Satellite Blvd Ste 115, Duluth, GA 30096-9022 | 2019-06-11 |
| 1093296733 | Marharyta Viarkhouskaya | Dentist | 2550 Pleasant Hill Rd Ste 119, Duluth, GA 30096-9278 | 2018-08-21 |
| 1881114015 | Eric Michael Anderson | Dentist | 2925 Premiere Pkwy Ste 165, Duluth, GA 30097-5258 | 2017-06-20 |
| 1790213825 | Devan Callaway | Dentist | 3415 Highway 120, Duluth, GA 30096-3354 | 2017-06-02 |
| 1184161119 | George Marius Dinulescu | Dentist | 3780 Old Norcross Rd Ste 303, Duluth, GA 30096-1742 | 2017-01-29 |
| 1801260187 | Bluestone Dental Pllc | Dentist | 906 Woodland Avenue, Duluth, MN 55812-1113 | 2015-11-24 |
| 1144600859 | Camille Zelen Dds Pa | Dentist | 1624 Woodland Ave, Duluth, MN 55803-2628 | 2015-06-08 |
| 1205230976 | Ace Dental Care, LLC | Dentist | 7990 Turnberry Way, Duluth, GA 30097-1634 | 2014-10-09 |
| 1588904619 | Janet Stuckwish Dunwody | Dentist | 3677 Habersham Ln, Duluth, GA 30096-6111 | 2013-02-27 |
| 1124305057 | Jong S Lee | Dentist | 4855 River Green Pkwy Ste 110, Duluth, GA 30096-8333 | 2011-11-06 |
| Find all providers in DULUTH | ||||
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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.