DR. HEYRI YEOM (NPI# 1467519355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467519355 |
| Entity Type | Individual |
| Full Name | DR. HEYRI YEOM |
| Credential | DDS |
| Practice Address |
2111 N Northgate Way Seattle WA 98133-9018 |
| Mailing Address |
6950 Ne Campus Way Hillsboro OR 97124-5611 |
| Practice Telephone | 2063676015 |
| Practice Fax Number | 2063676037 |
| Mailing Telephone | 5039522164 |
| Mailing Fax Number | 5035264418 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DE00010432 | WA | Dental Providers |
| Street Address |
2111 N NORTHGATE WAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98133-9018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326044058 | Er-jia Mao | Dentist | 2111 N Northgate Way, Ste 215, Seattle, WA 98133-9018 | 2005-06-27 |
| 1710278734 | Jeffrey Tymony | Counselor | 2111 N Northgate Way, Suite 212, Seattle, WA 98133-9018 | 2011-04-25 |
| 1780834689 | Greg Jerome Schoch | Counselor | 2111 N Northgate Way, Suite 217, Seattle, WA 98133-9018 | 2008-09-26 |
| 1538322292 | Joe Marc Rodin | Mechanotherapist | 2111 N Northgate Way, #221, Seattle, WA 98133-9018 | 2008-07-03 |
| 1689880783 | Sharon Marletta Fenton | Counselor | 2111 N Northgate Way, Suite 212, Seattle, WA 98133-9018 | 2007-05-15 |
| 1679694749 | Mary Ann Sullivan | Internal Medicine | 2111 N Northgate Way, #217, Seattle, WA 98133 | 2007-04-03 |
| 1740312479 | Wesley Homes At Home, LLC | Home Health | 2111 N Northgate Way, Suite 103, Seattle, WA 98133-9018 | 2007-03-09 |
| 1962569863 | Associated Behavioral Health Care Inc | Counselor | 2111 N Northgate Way, Ste 212, Seattle, WA 98133-9018 | 2007-01-02 |
| 1548378185 | Julie Elizabeth Myers | Social Worker | 2111 N Northgate Way, Suite 217, Seattle, WA 98133-9018 | 2006-08-25 |
| 1962457036 | Jason P Pehling | Dentist | 2111 N Northgate Way, Ste. 221, Seattle, WA 98133 | 2006-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339388 | Marni Lynn Hanig | Occupational Therapist | 1900 N 170th St., Shoreline, WA 98133 | 2019-10-29 |
| 1871074807 | Minju Kim | Counselor | 14332 Burke Ave N, Seattle, WA 98133 | 2018-08-27 |
| 1821582941 | Hana Alema Misgina | Registered Nurse | 927 N 199th St, Shoreline, WA 98133 | 2018-06-21 |
| 1588177729 | Julie Benefiel | Pharmacist | 1536 N 115th St. Suite 100, Seattle, WA 98133 | 2017-11-09 |
| 1730607953 | Aurora Oaks, LLC | Skilled Nursing Facility | 16357 Aurora Avenue North, Shoreline, WA 98133 | 2017-09-08 |
| 1750801072 | Zoe Ana Cavnar-lewandowski | Counselor | 10700 Meridian Avenue N, Suite G-11, Seattle, WA 98133 | 2017-06-27 |
| 1851820211 | Adam Lee Gardner Sr. | Acupuncturist | 925 N 163rd Street, Unit B, Shoreline, WA 98133 | 2017-06-08 |
| 1376085209 | Pamela Ashby | Counselor | 2111 N. Northgateway, 212, Seattle, WA 98133 | 2016-11-09 |
| 1225584956 | General Dentistry | Dentist | 20109 Aurora Ave N, Ste D, Shoreline, WA 98133 | 2016-09-01 |
| 1144672668 | Aaron Neubauer | Behavioral Analyst | 13407 Greenwood Ave N, 216c, Seattle, WA 98133 | 2016-07-08 |
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| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225653397 | Rika Takada | Dentist | B403 Health Sciences Building, Seattle, WA 98195-0001 | 2020-06-14 |
| 1467074757 | Amit Srikant Gharpure | Dentist | 1959 Ne Pacific Street Health Science Center Room B-403, Seattle, WA 98195-0001 | 2020-05-10 |
| 1164890026 | Shih-chung Liao | Dentist | 720 Olive Way Ste 810, Seattle, WA 98101-1836 | 2015-09-09 |
| 1093147068 | Etheridge Family Dentistry | Dentist | 3130 E Madison St Ste 103, Seattle, WA 98112-4221 | 2013-08-01 |
| 1790036903 | Neal Christopher Raval | Dentist | 2801 1st Avenue, #509, Seattle, WA 98121 | 2012-09-27 |
| 1083971238 | Yung-ting Hsu | Dentist | 1959 Ne Pacific St # D-554, Seattle, WA 98195-7444 | 2012-04-12 |
| 1760760847 | Martin J. Campbell | Dentist | 2046 Westlake Ave N Ste 204, Seattle, WA 98109-2753 | 2011-07-24 |
| 1962739102 | David Au-yeung, Dmd., Pllc | Dentist | 2033 2nd Ave, #906, Seattle, WA 98121-2242 | 2009-11-09 |
| 1760465306 | Thomas Patrick Sweeney | Dentist | 701 5th Ave Ste 4660, Seattle, WA 98104-7057 | 2005-11-29 |
| 1326044058 | Er-jia Mao | Dentist | 2111 N Northgate Way, Ste 215, Seattle, WA 98133-9018 | 2005-06-27 |
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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.