NPIMap

Organization Active NPI

Yakeika L Vann DDS PLLC

  • Dentist
  • Charlotte, NC
National Provider Identifier
1255772802
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8491 Issued in NC
Legal business name
YAKEIKA L VANN DDS PLLC
Practice address
5716 Wyalong Dr
Ste C
Charlotte, NC 28227-7847
Phone
(980) 819-8040
Fax
(980) 819-8043
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Yakeika L Vann, DDSNPI 1720105661
Title
Ceo
Phone
(980) 819-8040

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8491 NC Primary

Addresses

Primary practice location

5716 Wyalong Dr
Ste C
Charlotte, NC 28227-7847

Mailing address

5716 Wyalong Dr
Ste C
Charlotte, NC 28227-7847
Phone (980) 819-8040

National Provider Directory

National Provider Directory

Locations

5716 Wyalong Dr
Ste C
Charlotte, NC 28227
Phone (601) 630-5188

Practitioners & affiliated clinicians

Practitioners 2

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": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1255772802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 WYALONG DR",
            "address_2": "STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277847",
            "telephone_number": "980-819-8040",
            "fax_number": "980-819-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 WYALONG DR",
            "address_2": "STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282277847",
            "telephone_number": "980-819-8040",
            "fax_number": "980-819-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKEIKA L VANN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "VANN",
        "authorized_official_first_name": "YAKEIKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-819-8040",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.