Organization Active NPI

Rhett Yeakley DMD, PLLC

Doing business as Treasure Valley Family Dentistry

  • General Practice Dentistry
  • Meridian, ID
National Provider Identifier
1083975304
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D4338 Issued in ID
Legal business name
RHETT YEAKLEY DMD, PLLC
Doing business as
Treasure Valley Family Dentistry
Practice address
1570 E Heritage Park St Ste 100
Meridian, ID 83646-5886
Phone
(208) 884-8066
Fax
(208) 884-4809
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Authorized official

Name
Dr. Rhett Matthew Yeakley, DMDNPI 1811297393
Title
Dentist
Phone
(530) 510-3884

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D4338 ID Primary

Addresses

Primary practice location

1570 E Heritage Park St Ste 100
Meridian, ID 83646-5886

Mailing address

1570 E Heritage Park St Ste 100
Meridian, ID 83646-5886
Phone (208) 884-8066

Other names 1

  • Treasure Valley Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1570 E Heritage Park St
#100
Meridian, ID 83646
Phone (208) 884-8066

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": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1083975304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 E HERITAGE PARK ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465886",
            "telephone_number": "208-884-8066",
            "fax_number": "208-884-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 E HERITAGE PARK ST STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465886",
            "telephone_number": "208-884-8066",
            "fax_number": "208-884-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHETT YEAKLEY DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "YEAKLEY",
        "authorized_official_first_name": "RHETT",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "530-510-3884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Valley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.