Individual provider Active NPI

Gita Yitta, D.M.D

  • General Practice Dentistry
  • Grants Pass, OR
National Provider Identifier
1235573940
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D10060 Issued in OR
Practice address
1035 NE 6TH St Ste B
Bright Now Dental
Grants Pass, OR 97526-1298
Phone
(541) 479-6696
NPI assigned
Apr 24, 2013
Last updated
May 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D10060 OR Primary

Addresses

Primary practice location

1035 NE 6TH St Ste B
Bright Now Dental
Grants Pass, OR 97526-1298

Mailing address

1142 N Haskell St
Central Point, OR 97502-2496
Phone (917) 645-2901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150729010211 CA Order and Referring Only - DentistPractitioner - Dentist 3678887015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D10060ORMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1235573940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 N HASKELL ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022496",
            "telephone_number": "917-645-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 NE 6TH ST STE B",
            "address_2": "BRIGHT NOW DENTAL",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261298",
            "telephone_number": "541-479-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YITTA",
        "first_name": "GITA",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.