Organization Active NPI

Joseph L Yeargain DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1235513243
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JOSEPH L YEARGAIN DPM PLLC
Practice address
3801 Gaston Ave
Suite 330
Dallas, TX 75246-1541
Phone
(214) 824-3851
Fax
(214) 824-3852
NPI assigned
Jul 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Joseph Lee Yeargain, DPMNPI 1023271202
Title
Owner
Phone
(214) 824-3852

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
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

3801 Gaston Ave
Suite 330
Dallas, TX 75246-1541

Mailing address

3801 Gaston Ave
Suite 330
Dallas, TX 75246-1541
Phone (214) 824-3851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150909001396 TX Part B Supplier - Clinic/Group Practice 9436466323 Receives reassigned benefits from 4 practitioners
Practice locations: Dallas, TX
O20190321002713 TX DME Supplier - Physician - Podiatry 9436466323 Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3801 Gaston Ave
Ste 330
Dallas, TX 75246
Phone (214) 824-3851

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": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1235513243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE",
            "address_2": "SUITE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461541",
            "telephone_number": "214-824-3851",
            "fax_number": "214-824-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE",
            "address_2": "SUITE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461541",
            "telephone_number": "214-824-3851",
            "fax_number": "214-824-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L YEARGAIN DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "YEARGAIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-824-3852",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.