James Ferris Mose Yanney, DDS MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

MD15327 Issued in OR

Practice address

1672 Willamette Falls Dr
Suite D
West Linn, OR 97068-4661

Phone

(503) 722-4377

Fax

(503) 722-4413

NPI assigned

Nov 22, 2006

Last updated

Apr 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Maxillofacial Surgery

Education

Creighton University School of Medicine, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jyanney154918@direct.ohsu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James FM Yanney DDS MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • West Linn, OR
  • NPI 1306096797
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Oregon

  dba Providence St Vincent Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1114015971
  Care Compare affiliation

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1104991363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 WILLAMETTE FALLS DR",
            "address_2": "SUITE D",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684661",
            "telephone_number": "503-722-4377",
            "fax_number": "503-722-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 WILLAMETTE FALLS DR",
            "address_2": "SUITE D",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684661",
            "telephone_number": "503-722-4377",
            "fax_number": "503-722-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNEY",
        "first_name": "JAMES",
        "middle_name": "FERRIS MOSE",
        "name_prefix": "Dr.",
        "credential": "DDS MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OR",
            "license": "6119",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "SC",
            "license": "17195",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OR",
            "license": "MD15327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "194626700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald J Wright, CADC, NBCC
• Kimberly R Wright, DMD
• Dongfei Wu
• Karl Otto Wustrack, M.D.
• Yoram Yakimovsky, MD
• Dana Anthony Yip, D.D.S.
• Fen You
• James Mathias Young, CRNA
• Z-VA LLC Dba Z-VA Day Spa
• Z-VA Wellness Spa

• Oral & Maxillofacial Surgery (D.M.D.) in West Linn, OR
• Providers in West Linn, OR by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.