Individual provider Active NPI

Crystal Yetter, DMD

  • General Practice Dentistry
  • Pottstown, PA
National Provider Identifier
1306200084
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041985 Issued in PA
Practice address
351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438
Phone
(610) 326-9460
NPI assigned
Apr 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 DS041985 PA Primary

Addresses

Primary practice location

351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438

Mailing address

351 W Schuylkill Rd Ste G-15a
Pottstown, PA 19465-7438

Other practice location 1

4700 Wissahickon Ave Bldg D
Philadelphia, PA 19144-4248
Phone (267) 597-3600 ext. 4

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20220223000128 PA Practitioner - Dentist 4789078478 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health and Dental Care, Inc CurrentSince Nov 23, 2024 Accepting new patients
Resources for Human Development, Inc. CurrentSince Nov 17, 2021 Accepting new patients
Community Health and Dental Care, Inc CurrentSince Nov 23, 2024 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Nov 17, 2021 Accepting new patients
Resources for Human Development, Inc. Current Accepting new patients
Resources for Human Development, Inc. PastSince Jul 25, 2019 Accepting new patients
Family Practice & Counseling Services Network, Inc. PastSince Jul 25, 2019 Accepting new patients

Locations

2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172

4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720

4700 Wissahickon Ave
Philadelphia, PA 19144
Phone (215) 843-9720

4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771

4700 Wissahickon Ave
Ste 110
Philadelphia, PA 19144
Phone (215) 298-0417

351 W Schuylkill Rd
Ste G15A
Pottstown, PA 19465
Phone (484) 948-3097

700 Heritage Dr
Ste 701
Pottstown, PA 19464
Phone 6103269460193

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: crystal.yetter.p1@direct.chdc.nextgenshare.com

Organizations & group practices 7

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1306200084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W SCHUYLKILL RD STE G-15A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W SCHUYLKILL RD STE G-15A",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194657438",
            "telephone_number": "610-326-9460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Wissahickon Ave Bldg D",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191444248",
            "country_code": "US",
            "telephone_number": "267-597-3600 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YETTER",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

Verify at the official NPI Registry.