Individual provider Active NPI

Monica Yvette Yavrom, D.D.S.

  • General Practice Dentistry
  • Arlington, VA
National Provider Identifier
1437440641
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413157 Issued in VA
Practice address
2921 11TH St S
Arlington, VA 22204-0827
Phone
(703) 979-1425
Fax
(703) 979-1436
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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 0401413157 VA Primary

Addresses

Primary practice location

2921 11TH St S
Arlington, VA 22204-0827

Mailing address

2921 11TH St S
Arlington, VA 22204-0827
Phone (703) 979-1425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170103000490 VA Order and Referring Only - DentistPractitioner - Dentist 1456632694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Free Clinic Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1437440641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 11TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222040827",
            "telephone_number": "703-979-1425",
            "fax_number": "703-979-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 11TH ST S",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222040827",
            "telephone_number": "703-979-1425",
            "fax_number": "703-979-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVROM",
        "first_name": "MONICA",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-21",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.