Robert B Yacko, DDS;PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4166 Issued in AZ

Practice address

6750 W Peoria Ave Ste 134
Peoria, AZ 85345-9320

Phone

(623) 878-3722

Fax

(623) 486-8380

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dr. Robert B. Yacko D.D.S.; P.C.

  • General Practice Dentistry
  • Peoria, AZ
  • NPI 1770949000
  NPD (past) Authorized official
• Robert Yacko, DDS, PC

  • Dental Clinic/Center
  • Peoria, AZ
  • NPI 1609062876
  NPD (past) Authorized official

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1093765893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 W PEORIA AVE STE 134",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853459320",
            "telephone_number": "623-878-3722",
            "fax_number": "623-486-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W PEORIA AVE STE 134",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853459320",
            "telephone_number": "623-878-3722",
            "fax_number": "623-486-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACKO",
        "first_name": "ROBERT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS;PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunice Wright, NURSE PRACTITIONER
• Jay Wright, DDS, MS
• Kelly G Wright
• Shavonda Tyrie Wright, PHARMD
• Allison Wurscher, DNP, PMHNP-BC, APRN
• Yati K Yadav, D.D.S.
• Shahid Yakoob, MD
• Jinah Yang, DMD
• Shirley Yang, PSYD
• Taryn Yargeau

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.