Individual provider Active NPI

David Ward Yates, DMD

  • General Practice Dentistry
  • Palm Beach Gardens, FL
National Provider Identifier
1457432155
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN16095 Issued in FL
Practice address
5520 Pga Blvd
Ste 208
Palm Beach Gardens, FL 33418-3981
Phone
(561) 776-6177
Fax
(561) 776-3745
NPI assigned
Oct 18, 2006
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 DN16095 FL Primary

Addresses

Primary practice location

5520 Pga Blvd
Ste 208
Palm Beach Gardens, FL 33418-3981

Mailing address

5520 Pga Blvd
Ste 208
Palm Beach Gardens, FL 33418-3981
Phone (561) 776-6177

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

LicenseStateTypeSpecialty
DN16095FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1457432155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 PGA BLVD",
            "address_2": "STE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183981",
            "telephone_number": "561-776-6177",
            "fax_number": "561-776-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PGA BLVD",
            "address_2": "STE 208",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183981",
            "telephone_number": "561-776-6177",
            "fax_number": "561-776-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "DAVID",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.