Active NPI
David a. Yates & Associates, LLC
- Prosthetic/Orthotic Supplier
- Mountain Home, AR
National Provider Identifier
1386682375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- DAVID A. YATES & ASSOCIATES, LLC
- Practice address
- 14 Medical PLZ
Mountain Home, AR 72653-2919 - Phone
- (870) 425-3252
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rob A Yates, CPO
- Title
- President
- Phone
- (870) 932-6436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
14 Medical PLZ
Mountain Home, AR 72653-2919
Mailing address
PO Box 9303
Jonesboro, AR 72403-9303
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386682375 | Medicaid | MO | |
| 117889716 | Medicaid | AR |
Other names 3
- JP&O Prosthetic & Orthotic Laboratory
- Jonesboro Prosthetic & Orthotic Laboratory
- David A. Yates & Associates, Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627344000000",
"number": "1386682375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9303",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724039303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 MEDICAL PLZ",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532919",
"telephone_number": "870-425-3252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A. YATES & ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A",
"authorized_official_last_name": "YATES",
"authorized_official_first_name": "ROB",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-932-6436",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386682375",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117889716",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JP&O Prosthetic & Orthotic Laboratory",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "JP&O Prosthetic & Orthotic Laboratory",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Jonesboro Prosthetic & Orthotic Laboratory",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "David A. Yates & Associates, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.