Individual provider Active NPI

Aaron J Yarnell, D.M.D.

  • General Practice Dentistry
  • Tacoma, WA
National Provider Identifier
1407163553
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5766 Issued in AL
Practice address
BLDG 9900, 2ND Floor
US Army Dental Activity- Fort Lewis
Tacoma, WA 98431-1100
Phone
(253) 966-7827
Fax
(253) 968-7826
NPI assigned
Sep 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5766 AL Primary

Addresses

Primary practice location

BLDG 9900, 2ND Floor
US Army Dental Activity- Fort Lewis
Tacoma, WA 98431-1100

Mailing address

BLDG 9900, 2ND Floor
US Army Dental Activity- Fort Lewis
Tacoma, WA 98431-1100
Phone (253) 966-7827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20161130000379 AL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3274813746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1407163553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 9900, 2ND FLOOR",
            "address_2": "US ARMY DENTAL ACTIVITY- FORT LEWIS",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-966-7827",
            "fax_number": "253-968-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 9900, 2ND FLOOR",
            "address_2": "US ARMY DENTAL ACTIVITY- FORT LEWIS",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984311100",
            "telephone_number": "253-966-7827",
            "fax_number": "253-968-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARNELL",
        "first_name": "AARON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.