Lindsay Clement Yancey Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4458 Issued in NC

Practice address

481 Shepherd St
Stratford Exec. Park
Winston Salem, NC 27103-1627

Phone

(336) 768-8850

Fax

(336) 768-0135

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lindsay C Yancey Jr DDS, PC

  • Dentist
  • Winston Salem, NC
  • NPI 1679904304
  NPD (past) Authorized official
• Jeffrey C. Zackeru, DMD, PLLC

  dba Zackeru Family Dentistry

  • Dental Clinic/Center
  • Winston Salem, NC
  • NPI 1184241622
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417020983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 SHEPHERD ST",
            "address_2": "STRATFORD EXEC. PARK",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031627",
            "telephone_number": "336-768-8850",
            "fax_number": "336-768-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 SHEPHERD ST",
            "address_2": "STRATFORD EXEC. PARK",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031627",
            "telephone_number": "336-768-8850",
            "fax_number": "336-768-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "LINDSAY",
        "middle_name": "CLEMENT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "4458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8999598",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Yakos, R.D., L.D.N.
• Robert Dean Yakos, P.A.
• Mehmet Tamer Yalcinkaya, MD
• Hidetaka Yanagi, M.D.
• Hunter Bright Yancey, MD
• Bing Yang, CRNA
• Carter James Yang
• Larry Fortune Yang
• Mia Yang, M.D.
• Nancy Jiaqi Yang

• Dentist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.