Organization Active NPI

Joel W. Yates Jr. D.D.S. P.L.L.C

  • General Practice Dentistry
  • Jefferson, NC
National Provider Identifier
1134200421
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8194 Issued in NC
Legal business name
JOEL W. YATES JR. D.D.S. P.L.L.C
Practice address
525 E Main St
Jefferson, NC 28640-8991
Phone
(336) 846-2323
Fax
(336) 846-5635
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Dr. Joel W Yates Jr., D.D.S.NPI 1972608255
Title
Owner Operater
Phone
(336) 846-2323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8194 NC Primary

Addresses

Primary practice location

525 E Main St
Jefferson, NC 28640-8991

Mailing address

PO Box 499
Jefferson, NC 28640-0499
Phone (336) 846-2323

National Provider Directory

National Provider Directory

Locations

525 E Main St
Jefferson, NC 28640
Phone (336) 846-2323

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1134200421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 499",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400499",
            "telephone_number": "336-846-2323",
            "fax_number": "336-846-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MAIN ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286408991",
            "telephone_number": "336-846-2323",
            "fax_number": "336-846-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL W. YATES JR. D.D.S. P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER OPERATER",
        "authorized_official_telephone_number": "336-846-2323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.