Individual provider Active NPI

Yasemin Yesil, B.D.S.

  • Pediatric Dentistry
  • Winona, MN
National Provider Identifier
1215074646
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S134 Issued in MN
Practice address
150 E 4TH St
Winona, MN 55987-3512
Phone
(507) 452-1543
Fax
(507) 452-6874
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X FF18 MN
Pediatric Dentistry 1223P0221X S134 MN Primary

Addresses

Primary practice location

150 E 4TH St
Winona, MN 55987-3512

Mailing address

150 E 4TH St
Winona, MN 55987-3512
Phone (507) 452-1543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 21, 2015 through Dec 21, 2027

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023000776 FL Order and Referring Only - DentistPractitioner - Dentist 2163798927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S134MNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Dental of Winona, LLC Pediatric Dentistry Current Accepting new patients
Dental Partners of Minnesota, LTD PastSince Dec 10, 2020 Accepting new patients

Locations

150 E 4th St
Winona, MN 55987
Phone (507) 452-1543

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1215074646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 4TH ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873512",
            "telephone_number": "507-452-1543",
            "fax_number": "507-452-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 4TH ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873512",
            "telephone_number": "507-452-1543",
            "fax_number": "507-452-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESIL",
        "first_name": "YASEMIN",
        "name_prefix": "Dr.",
        "credential": "B.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "FF18",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "S134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.