Nicole Brianne Yates, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN014620 Issued in GA

Practice address

Centralized Cred. and Priv Dir. 554 Keily Street
Bureau of Medicine and Surgery
Jacksonville, FL 32212

Phone

(757) 953-7011

NPI assigned

Aug 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1316379126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTRALIZED CRED. AND PRIV DIR. 554 KEILY STREET",
            "address_2": "BUREAU OF MEDICINE AND SURGERY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "757-953-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRALIZED CRED. AND PRIV DIR. 554 KEILY STREET",
            "address_2": "BUREAU OF MEDICINE AND SURGERY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32212",
            "telephone_number": "757-953-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "NICOLE",
        "middle_name": "BRIANNE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorian Elizabeth Yates, LCSW
• Jeri Waldman Yates, M.S.
• Katherine Yates, MA, LCMHC
• Kimberleigh Yates, PT, DPT
• Melissa Marie Yates, M.D.
• Philip Randolph Yates, PH. D.
• Mikhail Yatsishin, PTA
• Azadeh Yavari, D.D.S.
• Morteza Gholi Yavari, MD
• Tugba Busra Yavuz, MD

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.