NPIMap

Organization Active NPI

David F. Yentz, D.D.S., P.C.

  • General Practice Dentistry
  • Monroe, MI
National Provider Identifier
1164820593
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901011208 Issued in MI
Legal business name
DAVID F. YENTZ, D.D.S., P.C.
Practice address
1080 N Monroe St
Monroe, MI 48162-3193
Phone
(734) 242-8885
Fax
(734) 242-1410
NPI assigned
Dec 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

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

Authorized official

Name
Kristina Renee Treece, CDA
Title
Office Manager
Phone
(734) 242-8885

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2901011208 MI Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2901019934 MI
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2901019893 MI

Addresses

Primary practice location

1080 N Monroe St
Monroe, MI 48162-3193

Mailing address

1080 N Monroe St
Monroe, MI 48162-3193
Phone (734) 242-8885

National Provider Directory

National Provider Directory

Locations

1080 N Monroe St
Monroe, MI 48162
Phone (734) 242-8885

Practitioners & affiliated clinicians

Practitioners 3

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": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1164820593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623193",
            "telephone_number": "734-242-8885",
            "fax_number": "734-242-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481623193",
            "telephone_number": "734-242-8885",
            "fax_number": "734-242-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID F. YENTZ, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "TREECE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-242-8885",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011208",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019934",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.