Organization Active NPI

R K Yeager & Assoc DDS PA & S

Doing business as MyDentists Latrobe

  • Dentist
  • Charlotte, NC
National Provider Identifier
1336447622
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5251 Issued in NC
Legal business name
R K YEAGER & ASSOC DDS PA & S
Doing business as
MyDentists Latrobe
Practice address
3749 Latrobe Dr
Charlotte, NC 28211-1164
Phone
(704) 365-0006
Fax
(704) 365-0007
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mary Middleton
Title
Office Manager
Phone
(704) 375-8577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5251 NC Primary

Addresses

Primary practice location

3749 Latrobe Dr
Charlotte, NC 28211-1164

Mailing address

3749 Latrobe Dr
Charlotte, NC 28211-1164
Phone (704) 365-0006

Other names 1

  • MyDentists Latrobe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Dentists R K Yeager Assoc DDS PA S2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1336447622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111164",
            "telephone_number": "704-365-0006",
            "fax_number": "704-365-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111164",
            "telephone_number": "704-365-0006",
            "fax_number": "704-365-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R K YEAGER & ASSOC DDS PA & S",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "704-375-8577"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyDentists Latrobe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.