Organization Active NPI

William Yoder DMD PLLC

  • Endodontics
  • Crestview Hills, KY
National Provider Identifier
1154913176
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
WILLIAM YODER DMD PLLC
Practice address
340 Thomas More Pkwy Ste 130
Crestview Hills, KY 41017-5101
Phone
(859) 327-8286
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Dr. William Ervin Yoder, DMDNPI 1649610643
Title
Member
Phone
(859) 327-8286

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

340 Thomas More Pkwy Ste 130
Crestview Hills, KY 41017-5101

Mailing address

340 Thomas More Pkwy Ste 130
Crestview Hills, KY 41017-5101

Other identifiers 1

IdentifierTypeStateIssuer
9344OtherKYKENTUCKY STATE DENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

340 Thomas More Pkwy
Ste 130
Crestview Hills, KY 41017
Phone (859) 327-8286

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": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1154913176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY STE 130",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY STE 130",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175101",
            "telephone_number": "859-327-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM YODER DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ERVIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "859-327-8286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY STATE DENTAL LICENSE",
            "identifier": "9344",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.