Individual provider Active NPI

Terron Eugene Yoder Jr., DMD

  • General Practice Dentistry
  • Ocean Isle Beach, NC
National Provider Identifier
1316385610
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9546 Issued in NC
Practice address
1525 Ocean Isle Beach Rd
Ocean Isle Beach, NC 28469
Phone
(877) 935-5255
NPI assigned
Jun 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9546 NC
General Practice Dentistry 1223G0001X 9546 NC Primary

Addresses

Primary practice location

1525 Ocean Isle Beach Rd
Ocean Isle Beach, NC 28469

Mailing address

1525 Ocean Isle Beach Rd
Ocean Isle Beach, NC 28469
Phone (877) 935-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210815000033 NC Practitioner - Dentist 1557656345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9546NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Community Health Council Inc CurrentSince Aug 1, 2021 Accepting new patients
Tri County Community Health Council Inc CurrentSince Aug 1, 2021 Accepting new patients
Tri County Community Health Council Inc Current Accepting new patients
Tri County Community Health Council Inc Past Accepting new patients

Locations

70 Crape Myrtle Dr
Ste 104
Benson, NC 27504
Phone (919) 938-0260

3331 Easy St
Dunn, NC 28334

6934 Beach Dr SW
Ste 4
Ocean Isle Beach, NC 28469
Phone (910) 579-9600

1525 Beach Dr SW
#2
Ocean Isle Beach, NC 28469
Phone (910) 579-9600

Organizations & group practices 4

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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1316385610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 OCEAN ISLE BEACH RD",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "28469",
            "telephone_number": "877-935-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 OCEAN ISLE BEACH RD",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "28469",
            "telephone_number": "877-935-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "TERRON",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9546",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Isle Beach, NC

Sources for this page

Verify at the official NPI Registry.