Organization Active NPI

James FM Yanney DDS MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • West Linn, OR
National Provider Identifier
1306096797
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
MD15327 Issued in OR
Legal business name
JAMES FM YANNEY DDS MD
Practice address
1672 Willamette Falls Dr
Suite #D
West Linn, OR 97068-4661
Phone
(503) 722-4377
Fax
(503) 722-4413
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. James F.M. Yanney, MDNPI 1104991363
Title
Physician
Phone
(503) 722-4377

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
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X MD15327 OR Primary

Addresses

Primary practice location

1672 Willamette Falls Dr
Suite #D
West Linn, OR 97068-4661

Mailing address

1672 Willamette Falls Dr
Suite #D
West Linn, OR 97068-4661
Phone (503) 722-4377

Other identifiers 1

IdentifierTypeStateIssuer
1104991363OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000199 OR Part B Supplier - Clinic/Group Practice 3274696059 Receives reassigned benefits from 1 practitioner
Practice locations: West Linn, OR

National Provider Directory

National Provider Directory

Locations

1672 Willamette Falls Dr
Ste D
West Linn, OR 97068
Phone (503) 722-4377

1800 Blankenship Rd
Ste 195
West Linn, OR 97068
Phone (503) 722-4377

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": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1306096797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 WILLAMETTE FALLS DR",
            "address_2": "SUITE #D",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684661",
            "telephone_number": "503-722-4377",
            "fax_number": "503-722-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 WILLAMETTE FALLS DR",
            "address_2": "SUITE #D",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684661",
            "telephone_number": "503-722-4377",
            "fax_number": "503-722-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES FM YANNEY DDS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "YANNEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-722-4377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OR",
            "license": "MD15327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104991363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.