Individual provider Active NPI

George Alan Yarko, D.D.S.

  • General Practice Dentistry
  • Oviedo, FL
National Provider Identifier
1285728121
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10207 Issued in FL
Practice address
1445 E Mitchell Hammock Rd
Oviedo, FL 32765-9144
Phone
(407) 977-6464
Fax
(407) 977-9989
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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 DN10207 FL Primary

Addresses

Primary practice location

1445 E Mitchell Hammock Rd
Oviedo, FL 32765-9144

Mailing address

1445 E Mitchell Hammock Rd
Oviedo, FL 32765-9144
Phone (407) 977-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN10207FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R Simpson DMD, PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1285728121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 E MITCHELL HAMMOCK RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659144",
            "telephone_number": "407-977-6464",
            "fax_number": "407-977-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E MITCHELL HAMMOCK RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659144",
            "telephone_number": "407-977-6464",
            "fax_number": "407-977-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARKO",
        "first_name": "GEORGE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.