NPIMap

Organization Active NPI

Yamileth Montoya Pate DDS PLLC

  • General Practice Dentistry
  • Bentonville, AR
National Provider Identifier
1154490076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3302 Issued in AR
Legal business name
YAMILETH MONTOYA PATE DDS PLLC
Practice address
2618 SE J St Suite 6
Bentonville, AR 72712
Phone
(479) 254-8111
Fax
(479) 254-8112
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Yamileth Montoya Pate, DDSNPI 1245309160
Title
Dentist
Phone
(479) 254-8111

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 3302 AR Primary

Addresses

Primary practice location

2618 SE J St Suite 6
Bentonville, AR 72712

Mailing address

2618 SE J St Suite 6
Bentonville, AR 72712
Phone (479) 254-8111

Other names 1

  • Pate Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

2618 SE J St
Ste 6
Bentonville, AR 72712
Phone (479) 254-8111

Practitioners & affiliated clinicians

Practitioners 2

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154490076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 SE J ST SUITE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-254-8111",
            "fax_number": "479-254-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 SE J ST SUITE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-254-8111",
            "fax_number": "479-254-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAMILETH MONTOYA PATE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "YAMILETH",
        "authorized_official_middle_name": "MONTOYA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "479-254-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pate Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.