Active NPI
William Peter Yeomans, DDS
- Dentist
- Scranton, PA
National Provider Identifier
1376755355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS018595L
- Practice address
- 959 Wyoming Ave.
Scranton Primary Health Care Center
Scranton, PA 18509-3023 - Phone
- (570) 504-0882
- Fax
- (570) 504-0859
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS018595L | PA | Primary |
Addresses
Primary practice location
959 Wyoming Ave.
Scranton Primary Health Care Center
Scranton, PA 18509-3023
Mailing address
P.O. Box 31 959 Wyoming Ave.
Scranton Primary Health Care Center
Scranton, PA 18501-0031
Phone (570) 344-3517
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS018595L | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scranton Primary Health Care Center, Inc. | Current | Accepting new patients | |
| Scranton Primary Health Care Center, Inc. | Current | Accepting new patients | |
| Scranton Primary Health Care Center, Inc | Current | Accepting new patients |
Locations
959 Wyoming Ave
Scranton, PA 18509
Phone (570) 344-3517
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1801871579
-
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1841709623
-
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1801336458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445299200000",
"number": "1376755355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 31 959 WYOMING AVE.",
"address_2": "SCRANTON PRIMARY HEALTH CARE CENTER",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185010031",
"telephone_number": "570-344-3517",
"fax_number": "570-344-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 WYOMING AVE.",
"address_2": "SCRANTON PRIMARY HEALTH CARE CENTER",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185093023",
"telephone_number": "570-504-0882",
"fax_number": "570-504-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEOMANS",
"first_name": "WILLIAM",
"middle_name": "PETER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2015-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS018595L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.