Jason P Yanich, D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30.021662 Issued in OH

Practice address

1456 Marion Waldo Rd
Marion, OH 43302-7422

Phone

(740) 389-2100

Fax

(740) 389-4233

NPI assigned

Apr 12, 2007

Last updated

Oct 15, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 2, 2016 through Jun 2, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Oral & Maxillofacial Surgery Centers Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Marion, OH
  • NPI 1497927081
  NPD (past)
• Oral & Maxillofacial Surgery Centers, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Circleville, OH
  • NPI 1043254246
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1114141793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 MARION WALDO RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027422",
            "telephone_number": "740-389-2100",
            "fax_number": "740-389-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 MARION WALDO RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027422",
            "telephone_number": "740-389-2100",
            "fax_number": "740-389-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANICH",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.021662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Woskobnick, DO
• Kimberly M. Wray
• Abby Wrentmore, LSW
• WSSH Powerback Rehabilitation Services, LLC
• Sarah Wynn, PA
• Ann Yates, PTA
• Mark E Yerman, D.D.S.
• Alexander Lawrence Young
• Carol Young
• Patricia R Young, P.T.

• Oral and Maxillofacial Surgery (Dentist) in Marion, OH
• Providers in Marion, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.