John Russell Yancey, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

DEN.00203857 Issued in CO

Practice address

8683 E Lincoln Ave Ste 130
Lone Tree, CO 80124-9812

Phone

(317) 459-0738

NPI assigned

Apr 20, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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.

• Mountain Dental Anesthesia LLC

  dba Sunshine Dental Anesthesia

  • Dental Anesthesiology
  • Lone Tree, CO
  • NPI 1265101356
  NPD Authorized official
• Mountain Dental Anesthesia LLC

  • General Practice Dentistry
  • Broomfield, CO
  • NPI 1922642743
  NPD Authorized official

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1255622635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12548 N 4TH ST",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349458",
            "telephone_number": "317-459-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8683 E LINCOLN AVE STE 130",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801249812",
            "telephone_number": "317-459-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "JOHN",
        "middle_name": "RUSSELL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "8020326-9924",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CO",
            "license": "DEN.00203857",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jieying Wu, DO
• Siyao Wu
• John Soteros Xenos, M.D.
• Y & B Marketing Inc.
• Jennifer Lyn Wall Yamazaki, M.D.
• Diane Choi Yang, MD, MPH
• Christina Julia Yannetsos, MD
• Claire Yeamans, RN, CNM
• Roger Yee, O.D.
• In Sok Yi, MD

• Dental Anesthesiology in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Dental Anesthesiology in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.