Organization Active NPI

Michelle a. Yearick, D.D.S., P.C.

  • Pediatric Dentistry
  • Lewisburg, PA
National Provider Identifier
1063817153
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS029601L Issued in PA
Legal business name
MICHELLE A. YEARICK, D.D.S., P.C.
Practice address
217 Farley Cir
Lewisburg, PA 17837-9251
Phone
(570) 524-7318
Fax
(570) 524-7321
NPI assigned
Oct 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Dr. Michelle Ann Yearick, D.D.S.NPI 1275587289
Title
President
Phone
(570) 524-7318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DS029601L PA Primary

Addresses

Primary practice location

217 Farley Cir
Lewisburg, PA 17837-9251

Mailing address

217 Farley Cir
Lewisburg, PA 17837-9251
Phone (570) 524-7318

Other identifiers 1

IdentifierTypeStateIssuer
0015736170005MedicaidPA

National Provider Directory

National Provider Directory

Locations

217 Farley Cir
Lewisburg, PA 17837
Phone (570) 524-7318

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1063817153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FARLEY CIR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379251",
            "telephone_number": "570-524-7318",
            "fax_number": "570-524-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FARLEY CIR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379251",
            "telephone_number": "570-524-7318",
            "fax_number": "570-524-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE A. YEARICK, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "YEARICK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-524-7318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS029601L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015736170005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.