Robert S Yeung, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

2901019963 Issued in MI

Practice address

950 Trade Centre Way
Suite 225
Portage, MI 49002-0487

Phone

(269) 349-2189

Fax

(269) 349-2663

NPI assigned

Mar 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Great Lakes Endodontics

  • Endodontics
  • Portage, MI
  • NPI 1659802395
  NPD (past) Authorized official

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1407098056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TRADE CENTRE WAY",
            "address_2": "SUITE 225",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020487",
            "telephone_number": "269-349-2189",
            "fax_number": "269-349-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 TRADE CENTRE WAY",
            "address_2": "SUITE 225",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020487",
            "telephone_number": "269-349-2189",
            "fax_number": "269-349-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUNG",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-28",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Yarbrough Jr., PT, DPT
• Jennifer Yarger
• Mary Ellen Yealin
• Beverly Yee, MTOM, LAC
• Kelly Elizabeth Ellen Yeung, DDS
• Young Men'S Christian Association of Kalamazoo
• Alison Bailey Young
• Delarren Young
• Laythen Young, PT
• Rebecca Young

• Dentist in Portage, MI
• Providers in Portage, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.