Individual provider Active NPI

Stephen Adams Yokeley, D.D.S.

  • General Practice Dentistry
  • Mount Airy, NC
National Provider Identifier
1124038070
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3746 Issued in NC
Practice address
132 Greystone Lane
Mount Airy, NC 27030-4376
Phone
(336) 710-0472
Fax
(336) 789-2310
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3746 NC Primary

Addresses

Primary practice location

132 Greystone Lane
Mount Airy, NC 27030-4376

Mailing address

132 Greystone Lane
Mount Airy, NC 27030-4376
Phone (336) 710-0472

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

LicenseStateTypeSpecialty
3746NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1124038070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 GREYSTONE LANE",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304376",
            "telephone_number": "336-710-0472",
            "fax_number": "336-789-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 GREYSTONE LANE",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304376",
            "telephone_number": "336-710-0472",
            "fax_number": "336-789-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOKELEY",
        "first_name": "STEPHEN",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "3746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.