Justin Hermann Yeates, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00011024 Issued in WA

Practice address

2017 Continental PL
Suite 9
Mount Vernon, WA 98273-5649

Phone

(360) 424-3133

NPI assigned

Aug 21, 2007

Sex

Male

Sole proprietor

No

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 WA

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 and National Provider Directory roles.

• Zweber PLLC

  • Dentist
  • Mount Vernon, WA
  • NPI 1184706202
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1437342649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 CONTINENTAL PL",
            "address_2": "SUITE 9",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735649",
            "telephone_number": "360-424-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 CONTINENTAL PL",
            "address_2": "SUITE 9",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735649",
            "telephone_number": "360-424-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATES",
        "first_name": "JUSTIN",
        "middle_name": "HERMANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00011024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Woodworth, LMT
• Jeffrey B. Worrell, OPTICIAN
• Herman P Wu, MD
• Kimberly Saphaire-Dawn Wyatt, AAC, BA
• Ya-Chun Wang, DDS, PLLC
• Rachel Mackenzie York, PA
• Caitlin Young, PA-C
• Kirsten Elizabeth Young
• Raylene Young, RN
• Jessica Ann Younger, DPT

• General Practice Dentistry in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.