Jeffrey Yelle PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JEFFREY YELLE PLLC

Practice address

18925 Base Camp Rd
Monument, CO 80132-3414

Phone

(719) 488-2375

NPI assigned

Nov 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Yelle, DDS

Title

Dentist/Manager

Phone

(804) 441-2158

Specialties & licenses 1

Addresses

Other names 1

• Mountain Wellness Dentistry Doing business as

Locations

Practitioners 1

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

• Jeffrey Yelle

  • Dentist
  • North Conway, NH
  • NPI 1184068645
  NPD

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1144986019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18925 BASE CAMP RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801323414",
            "telephone_number": "719-488-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18925 BASE CAMP RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801323414",
            "telephone_number": "719-488-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY YELLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "YELLE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DENTIST/MANAGER",
        "authorized_official_telephone_number": "804-441-2158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Wellness Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber R James, M.ED, LPC, NCC
• Jasmine Chantel Jaquess, LPCC
• Elizabeth Jarka, LCSW
• Courtney Jasiulevicius
• JD Glover, PLLC
• Michele Jezek
• Ashley Brooke Johnson, DO
• Lori K Johnson, NP
• Marc A Johnson, PA-C
• Raekwon Domanic Johnson

• Dental Clinic/Center in Monument, CO
• Providers in Monument, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.