Individual provider Active NPI

Richard M Yarbro, DDS

  • General Practice Dentistry
  • Spokane, WA
National Provider Identifier
1154428837
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009612 Issued in WA
Practice address
10208 N Division St Ste 108
Spokane, WA 99218-1570
Phone
(509) 468-0200
Fax
(509) 468-0257
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DE00009612 WA Primary

Addresses

Primary practice location

10208 N Division St Ste 108
Spokane, WA 99218-1570

Mailing address

10208 N Division St Ste 108
Spokane, WA 99218-1570
Phone (509) 468-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20160920000903 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2163719113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00009612WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard M Yarbro Family Dentistry PS General Practice Current Accepting new patients

Locations

10208 N Division St
Ste 108
Spokane, WA 99218
Phone (509) 468-0200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154428837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 N DIVISION ST STE 108",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181570",
            "telephone_number": "509-468-0200",
            "fax_number": "509-468-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 N DIVISION ST STE 108",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181570",
            "telephone_number": "509-468-0200",
            "fax_number": "509-468-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARBRO",
        "first_name": "RICHARD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.