Individual provider Active NPI

Steven E Yarmosky, D.D.S., P.C.

  • Pediatric Dentistry
  • Pittsfield, MA
National Provider Identifier
1033260385
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14486 Issued in MA
Practice address
200 Elm St
Pittsfield, MA 01201-6551
Phone
(413) 499-4850
Fax
(413) 442-0255
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 14486 MA Primary

Addresses

Primary practice location

200 Elm St
Pittsfield, MA 01201-6551

Mailing address

200 Elm St
Pittsfield, MA 01201-6551
Phone (413) 499-4850

Other identifiers 3

IdentifierTypeStateIssuer
591180OtherUNITED CONCORDIA
X06492YAOtherMABCBS OF MA
00302OtherMADELTA DENTAL OF MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160604000079 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4183914039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14486MAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Louis M Yarmosky DDS MSD & Steven E Yarmosky DDS PC Pediatric Dentistry Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033260385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016551",
            "telephone_number": "413-499-4850",
            "fax_number": "413-442-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ELM ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016551",
            "telephone_number": "413-499-4850",
            "fax_number": "413-442-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARMOSKY",
        "first_name": "STEVEN",
        "middle_name": "E",
        "credential": "D.D.S., P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "14486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "591180",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "X06492YA",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF MA",
            "identifier": "00302",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.