Active NPI
Sandy Marie Yetman, RDH
- Dental Hygienist
- Newport, RI
National Provider Identifier
1417779281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH87088
- Practice address
- 43 Smith Rd BLDG 23
Newport, RI 02841-1006 - Phone
- (401) 841-2542
- NPI assigned
- Oct 31, 2024
- Last updated
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH87088 | MA | Primary |
Addresses
Primary practice location
43 Smith Rd BLDG 23
Newport, RI 02841-1006
Mailing address
344 Mohawk Dr
Westport, MA 02790-1811
Phone (508) 320-8851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH87088 | MA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730332800000",
"number": "1417779281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "344 MOHAWK DR",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027901811",
"telephone_number": "508-320-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 SMITH RD BLDG 23",
"city": "NEWPORT",
"state": "RI",
"postal_code": "028411006",
"telephone_number": "401-841-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YETMAN",
"first_name": "SANDY",
"middle_name": "MARIE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-31",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "DH87088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.