Organization Active NPI

Jaye Venuti, DDS and Michael Yokoyama, DDS, Prof. Dental Corp,

  • Periodontics
  • Encinitas, CA
National Provider Identifier
1194945030
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
37061 Issued in CA
Legal business name
JAYE VENUTI, DDS AND MICHAEL YOKOYAMA, DDS, PROF. DENTAL CORP,
Practice address
477 N El Camino Real
BLDG. C-306
Encinitas, CA 92024-1328
Phone
(760) 632-9055
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Michael Yokoyama, DDSNPI 1669568325
Title
Owner
Phone
(760) 815-8400

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 37061 CA Primary

Addresses

Primary practice location

477 N El Camino Real
BLDG. C-306
Encinitas, CA 92024-1328

Mailing address

477 N El Camino Real
BLDG. C-306
Encinitas, CA 92024-1328
Phone (760) 632-9055

National Provider Directory

National Provider Directory

Locations

477 N El Camino Real
Ste C306
Encinitas, CA 92024
Phone (760) 632-9055

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1194945030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "BLDG. C-306",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-632-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "BLDG. C-306",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-632-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYE VENUTI, DDS AND MICHAEL YOKOYAMA, DDS, PROF. DENTAL CORP,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "YOKOYAMA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-815-8400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "37061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.