NPIMap

Organization Active NPI

Clyde Yost DDS PA

  • Pediatric Dentistry
  • San Antonio, TX
National Provider Identifier
1164692091
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12092 Issued in TX
Legal business name
CLYDE YOST DDS PA
Practice address
102 Palo Alto Rd Ste 400
San Antonio, TX 78211-3793
Phone
(210) 924-8770
Fax
(210) 921-9650
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Bette J Yost, RDH
Title
Hygienist
Phone
(210) 924-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12092 TX Primary

Addresses

Primary practice location

102 Palo Alto Rd Ste 400
San Antonio, TX 78211-3793

Mailing address

102 Palo Alto Rd, Ste 400
San Antonio, TX 78211-3793
Phone (210) 924-8770

Other names 1

  • Yost Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

102 Palo Alto Rd
Ste 400
San Antonio, TX 78211
Phone (210) 924-8770

Practitioners & affiliated clinicians

Practitioners 4

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": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1164692091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD, STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113793",
            "telephone_number": "210-924-8770",
            "fax_number": "210-921-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PALO ALTO RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782113793",
            "telephone_number": "210-924-8770",
            "fax_number": "210-921-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDE YOST DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "BETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "HYGIENIST",
        "authorized_official_telephone_number": "210-924-8770",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "12092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yost Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.