Active NPI
Rhett Yeakley DMD, PLLC
Doing business as Treasure Valley Family Dentistry
- General Practice Dentistry
- Meridian, ID
National Provider Identifier
1083975304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D4338
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rhett Matthew Yeakley, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Redding, CA
- NPI 1811297393
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.