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YIRAE ORT D.D.S.
NPI 1336409481
Oral & Maxillofacial Surgery in Bellevue, WA

Active since May 23, 2012Opted out of Medicare · through Jun 24, 2027
1260 116TH AVE NE, SUITE 110, BELLEVUE, WA 98004(425) 200-5890(425) 589-0560 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2019, Oct 20, 2017, Jun 1, 2017 (3 updates tracked since 2017).

About Yirae Ort D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YIRAE ORT D.D.S. (NPI 1336409481) is an individual oral & maxillofacial surgery provider in Bellevue, Washington, licensed in Florida (ME132729) and active in the NPI registry since May 2012. She has opted out of Medicare through June 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336409481
Entity TypeIndividualFemale
Primary Taxonomy204E00000X
Provider Legal NameYIRAE ORTCredential: D.D.S.
Location Address1260 116TH AVE NE, SUITE 110Bellevue, WA 98004-3800
Mailing Address1260 116th Ave Ne, Suite 110Bellevue, WA 98004-3800 · (425) 200-5890 · Fax (425) 589-0560
Phone(425) 200-5890
Fax(425) 589-0560
Sole ProprietorNo
Enumeration DateMay 23, 2012
Last NPPES UpdateAugust 12, 20193 updates tracked since enumeration
✔ NPI 1336409481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in FL · ME132729
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1260 116TH AVE NE, Bellevue, WA 98004
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Yirae Ort D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 24, 2019 through June 24, 2027.

Opt-Out Effective DateJune 24, 2019
Opt-Out In Effect ThroughJune 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BELLEVUE ALLERGY CLINIC
Naturopath
1260 116TH AVE NE
BELLEVUE, WA 98004
King County (425) 367-4169
MR. HISAO KATO LMP
Massage Therapist
1260 116TH AVE NE, #100
BELLEVUE, WA 98004
King County (425) 956-4123
JAN ZEMPLENYI M.D.
Otolaryngology (Facial Plastic Surgery)
1260 116TH AVE NE, SUITE 110
BELLEVUE, WA 98004
King County (425) 455-7225
MR. PATRICK CARRICK LMP
Massage Therapist
1260 116TH AVE NE, SUITE 200
BELLEVUE, WA 98004
King County (425) 450-9801
DR. SAMUEL SCHIKOWITZ ND LAC
Naturopath
1260 116TH AVE NE, STE 100
BELLEVUE, WA 98004
King County (888) 856-5658
BELLEVUE CENTER FOR HEALTH, PLLC
Non-Pharmacy Dispensing Site
1260 116TH AVE NE, SUITE 100
BELLEVUE, WA 98004
King County (425) 957-0761
DR. KURT HOWARD O'NEILL DC
Chiropractor
1260 116TH AVE NE, SUITE 100
BELLEVUE, WA 98004
King County (425) 957-0761
BEL-RED CENTER FOR AESTHETIC SURGERY, P.S.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1260 116TH AVE NE, SUITE 110
BELLEVUE, WA 98004
King County (425) 455-7225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yirae Ort's NPI number?

The NPI number for Yirae Ort is 1336409481. It was assigned to this individual provider in the NPPES registry on May 23, 2012.

Where is Yirae Ort located?

Yirae Ort practices at 1260 116th Ave NE Suite 110, Bellevue, WA 98004. The listed phone number is (425) 200-5890.

What is Yirae Ort's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Yirae Ort enrolled in Medicare?

No. Yirae Ort has opted out of Medicare through June 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Yirae Ort was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.