NPIMap

Organization Active NPI

James M Yassick DDS PC

  • Dentist
  • Eagle River, AK
National Provider Identifier
1326325879
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D 386 Issued in AK
Legal business name
JAMES M YASSICK DDS PC
Practice address
13012 Old Glenn Hwy Ste 102
Eagle River, AK 99577-7568
Phone
(907) 694-2409
Fax
(907) 694-2451
NPI assigned
Nov 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Authorized official

Name
Dr. James M Yassick, D.D.S.NPI 1043413172
Title
President
Phone
(907) 694-2409

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D 386 AK Primary

Addresses

Primary practice location

13012 Old Glenn Hwy Ste 102
Eagle River, AK 99577-7568

Mailing address

13012 Old Glenn Hwy Ste 102
Eagle River, AK 99577-7568
Phone (907) 694-2409

National Provider Directory

National Provider Directory

Locations

13012 Old Glenn Hwy
Ste 102
Eagle River, AK 99577
Phone (907) 694-2409

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": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1326325879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13012 OLD GLENN HWY STE 102",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777568",
            "telephone_number": "907-694-2409",
            "fax_number": "907-694-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13012 OLD GLENN HWY STE 102",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777568",
            "telephone_number": "907-694-2409",
            "fax_number": "907-694-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M YASSICK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "YASSICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-694-2409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AK",
            "license": "D 386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.