Kevin Lee Yoder, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60246194 Issued in WA

Practice address

1880 Pottery Ave Ste 200
Port Orchard, WA 98366-2518

Phone

(360) 895-4321

NPI assigned

Sep 16, 2011

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

Medicare fee-for-service enrollment

Enrolled in WA

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

State licenses

Practice roles

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.

• Jae H Ha DDS PLLC

  • Dental Clinic/Center
  • Port Orchard, WA
  • NPI 1669274122
  NPD (past)
• Yoder, Grieser & Sullivan, DDS, LLP

  • Dentist
  • Port Orchard, WA
  • NPI 1336346402
  NPD (past)

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1245512003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 POTTERY AVE STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662518",
            "telephone_number": "360-895-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 POTTERY AVE STE 200",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662518",
            "telephone_number": "360-895-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60246194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose Yeager, SUDPT
• Yeh DDS MSD & Leu DDS PS Inc
• Emily Ann Yingling, LMP, RYT
• Bruce Lee Yoder, DDS
• Yoder, Grieser & Sullivan, DDS, LLP
• Young Family Chiropractic
• Allison Young, PTA
• Jennifer Anne Young, D.C.
• Stephanie Tsai Luen Young, OTR
• Alexandra Youssef

• General Practice Dentistry in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.