Charles Lawrece W. Yeater, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3460 Issued in WV

Practice address

3015 Dudley Ave
Parkersburg, WV 26104-1817

Phone

(304) 428-6495

Fax

(304) 865-0802

NPI assigned

Aug 29, 2012

Last updated

Feb 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lawrence Wesley Yeater Professional name

Medicare fee-for-service enrollment

Enrolled in WV

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1215286844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041817",
            "telephone_number": "304-428-6495",
            "fax_number": "304-865-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261041817",
            "telephone_number": "304-428-6495",
            "fax_number": "304-865-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATER",
        "first_name": "CHARLES",
        "middle_name": "LAWRECE W.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "YEATER",
            "middle_name": "WESLEY",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• WV Family Support and Rehabilitation Services
• Yasser W Barsoum MD PLLC
• Payton E Yates
• Traves Yeager, PRSS
• Amy Lynn Yeater, CARE COORDINATOR
• Bethany Yencha
• Vickie Yencha
• Eric Yestramski
• Leslie Yetter
• Terra Yoak

• General Practice Dentistry in Parkersburg, WV
• Providers in Parkersburg, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.