Active NPI
Valerie L Yaniszewski, DMD
- General Practice Dentistry
- Indian Land, SC
National Provider Identifier
1023038049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3983
- Practice address
- 6237 Carolina Commons Dr Ste 330
Indian Land, SC 29707-6014 - Phone
- (803) 547-9786
- Fax
- (803) 547-6777
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3983 | SC | Primary |
Addresses
Primary practice location
6237 Carolina Commons Dr Ste 330
Indian Land, SC 29707-6014
Mailing address
855 Harvest Pointe Dr
Fort Mill, SC 29708-7707
Phone (803) 984-0682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3983 | Other | SC | DENTAL LICENSE |
| ZX3983 | Medicaid | SC |
Other names 1
- Dr. Valerie L Opala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150814014891 | SC | Order and Referring Only - Oral Surgery | 3971818261 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3983 | SC | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valerie L. Yaniszewski, DMD, PC | General Practice | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6315/brand/3/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Indian Land, SC
- NPI 1346489564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1023038049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 HARVEST POINTE DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087707",
"telephone_number": "803-984-0682",
"fax_number": "803-547-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6237 CAROLINA COMMONS DR STE 330",
"city": "INDIAN LAND",
"state": "SC",
"postal_code": "297076014",
"telephone_number": "803-547-9786",
"fax_number": "803-547-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANISZEWSKI",
"first_name": "VALERIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3983",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "3983",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZX3983",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VALERIE",
"last_name": "OPALA",
"middle_name": "L",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indian Land, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.