Individual provider Active NPI

Eric Youvan, D.D.S.

  • General Practice Dentistry
  • Pittsburg, KS
National Provider Identifier
1336247337
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2008.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
KS6972 Issued in KS
Practice address
302 E 4TH St
Suite E
Pittsburg, KS 66762-4818
Phone
(620) 231-6969
Fax
(620) 231-8018
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 KS6972 KS Primary

Addresses

Primary practice location

302 E 4TH St
Suite E
Pittsburg, KS 66762-4818

Mailing address

302 E 4TH St
Suite E
Pittsburg, KS 66762-4818
Phone (620) 231-6969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
KS6972KSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336247337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E 4TH ST",
            "address_2": "SUITE E",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667624818",
            "telephone_number": "620-231-6969",
            "fax_number": "620-231-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 4TH ST",
            "address_2": "SUITE E",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667624818",
            "telephone_number": "620-231-6969",
            "fax_number": "620-231-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUVAN",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "KS6972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.