Kevin Gerard Yachwan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

044544 Issued in NY

Practice address

727 Main St
Niagara Falls, NY 14301-1741

Phone

(716) 285-2815

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063593770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250A JAGOW RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 MAIN ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143011741",
            "telephone_number": "716-285-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACHWAN",
        "first_name": "KEVIN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Ann Wolf, RN, BSN
• Julielynn Wong, MD, MPH, FACPM
• Kurt R Woods, AGNP-C
• Robert E Woods, MD
• Delois Wooten, RN
• Amy E Yandricha, M.S., CRC
• Meshel S Yany, MD
• Sara Yvonne Yates
• Viktor Yatsynovich, M.D.
• Melinda Beth Ybema, R.PH.

• General Practice Dentistry in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.