NPIMap

Organization Active NPI

Yeaton and Mar Dental Corporation

  • Dentist
  • Oxnard, CA
National Provider Identifier
1205499183
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
YEATON AND MAR DENTAL CORPORATION
Practice address
1381 W Channel Islands Blvd
Oxnard, CA 93033-4203
Phone
(805) 253-1796
Fax
(805) 253-1871
NPI assigned
Apr 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Maria H Yeaton, DDS
Title
Owner
Phone
(805) 253-1796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1381 W Channel Islands Blvd
Oxnard, CA 93033-4203

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

Other names 1

  • Oxnard Smiles Dentistry Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1381 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 253-1796

Practitioners & affiliated clinicians

Practitioners 5

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": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1205499183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 W CHANNEL ISLANDS BLVD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334203",
            "telephone_number": "805-253-1796",
            "fax_number": "805-253-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEATON AND MAR DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "YEATON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-253-1796",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxnard Smiles Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oxnard Smiles Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.