Active NPI
Martin Ben Yules, D.D.S.
- Prosthodontics
- Andrews Air Force Base, MD
National Provider Identifier
1093896177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 9942
- Practice address
- 1601 California Ave
79 DS/SGDD
Andrews Air Force Base, MD 20762-6600 - Phone
- (240) 857-5029
- Fax
- (240) 857-7561
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 9942 | MD | Primary |
Addresses
Primary practice location
1601 California Ave
79 DS/SGDD
Andrews Air Force Base, MD 20762-6600
Mailing address
8300 Highgrove CT
White Plains, MD 20695-3432
Phone (301) 638-1873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9942 | MD | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093896177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 HIGHGROVE CT",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953432",
"telephone_number": "301-638-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CALIFORNIA AVE",
"address_2": "79 DS/SGDD",
"city": "ANDREWS AIR FORCE BASE",
"state": "MD",
"postal_code": "207626600",
"telephone_number": "240-857-5029",
"fax_number": "240-857-7561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YULES",
"first_name": "MARTIN",
"middle_name": "BEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MD",
"license": "9942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Andrews Air Force Base, MD
Sources for this page
- 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.