Alvin Peter Yadgood, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

16454 Issued in MA

Practice address

390 Water St
Haverhill, MA 01830-6473

Phone

(978) 374-7451

Fax

(978) 373-8870

NPI assigned

Aug 12, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Oral Surgery

Education

Georgetown University School of Medicine, 1982

Medicare assignment

May accept Medicare assignment

Group practices

Northern Essex Oral Surgery Assoc IncGroup PAC ID 2264592203, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Essex Oral Surgery Assoc Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Haverhill, MA
  • NPI 1851558274
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447262084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306473",
            "telephone_number": "978-374-7451",
            "fax_number": "978-373-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 WATER ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306473",
            "telephone_number": "978-374-7451",
            "fax_number": "978-373-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADGOOD",
        "first_name": "ALVIN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "16454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "1657C",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "X05532YA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Woodilla
• Kara Beth Workman
• WP Acquisition Sub LLC
• WP Acquisition Sub LLC
• Mei Wu, PT
• Jennifer Yameen, BS
• Sulki Yang
• Rachel Beth Yee, LMHC
• Your True Self LLC
• Hannah Ruth Zannini, IHT TT&S

• Oral and Maxillofacial Surgery (Dentist) in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.