Active NPI
Sean Yockus, DMD
- Prosthodontics
- Lighthouse Point, FL
National Provider Identifier
1376843961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN 0013203
- Practice address
- 2211 NE 36TH St Ste 102
Lighthouse Point, FL 33064-7537 - Phone
- (954) 782-2288
- NPI assigned
- Oct 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN 0013203 | FL | Primary |
Addresses
Primary practice location
2211 NE 36TH St Ste 102
Lighthouse Point, FL 33064-7537
Mailing address
2211 NE 36TH St Ste 102
Lighthouse Point, FL 33064-7537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108001424 | FL | Order and Referring Only - Other (Physician) | 9335441294 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 0013203 | FL | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1376843961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 NE 36TH ST STE 102",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 NE 36TH ST STE 102",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647537",
"telephone_number": "954-782-2288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOCKUS",
"first_name": "SEAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "FL",
"license": "DN 0013203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.