Matthew R Yekikian, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D14702 Issued in MN

Practice address

8480 Woodbury Xing Ste 120
Woodbury, MN 55125-9406

Phone

(651) 358-7025

NPI assigned

Feb 21, 2017

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 FL

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

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Twin Cities Oral & Maxillofacial Surgery P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hastings, MN
  • NPI 1083792279
  NPD

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1124567342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8480 WOODBURY XING STE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259406",
            "telephone_number": "651-358-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 WOODBURY XING STE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259406",
            "telephone_number": "651-358-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEKIKIAN",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D14702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanalyn Kajsiab Yang
• Taylor Yang
• Wa Yang
• James Michael Yares, PT
• Reed James Yehle, DC
• Paul T Yellin, MD
• Jacob Gregory Yetzer, M.D., D.D.S
• Angeline A Young, MD
• Danielle Jade Youngberg
• Faisal S Yousif

• Oral and Maxillofacial Surgery (Dentist) in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.