Yelena Vynar

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011766 Issued in AZ

Practice address

20542 N Lake Pleasant Rd Ste 101
Peoria, AZ 85382-9749

Phone

(623) 334-0012

NPI assigned

Apr 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Designer Dental Services PLLC

  • Dental Clinic/Center
  • Peoria, AZ
  • NPI 1790451136
  NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1235871195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20542 N LAKE PLEASANT RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20542 N LAKE PLEASANT RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829749",
            "telephone_number": "623-334-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYNAR",
        "first_name": "YELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joceline Vito
• Voisin Chiropractic, Inc.
• David Anthony Voyer, D.C.
• Wendy Voyer
• Monica Vu, PHARMD
• Shieata Wade
• Winston E Wade
• Kristi Wadsworth, RDH
• Zachary Patrick Wagner, FNP-C
• Laura Wagnor

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.