Individual provider Active NPI

Jace Yeoman, DDS

  • Dentist
  • Hickory, NC
National Provider Identifier
1467345306
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14187 Issued in NC
Practice address
2315 Catawba Valley Blvd SE # 5TH
Hickory, NC 28602-4162
Phone
(828) 327-7283
NPI assigned
May 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14187 NC Primary

Addresses

Primary practice location

2315 Catawba Valley Blvd SE # 5TH
Hickory, NC 28602-4162

Mailing address

168 Patrick Murphy Dr Apt 38
Morganton, NC 28655-4694
Phone (336) 870-2417

Other practice location 1

507 E Parker Rd
Morganton, NC 28655-5104
Phone (828) 430-4500

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
14187NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1467345306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 PATRICK MURPHY DR APT 38",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554694",
            "telephone_number": "336-870-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 CATAWBA VALLEY BLVD SE # 5TH",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024162",
            "telephone_number": "828-327-7283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 E Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555104",
            "country_code": "US",
            "telephone_number": "828-430-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEOMAN",
        "first_name": "JACE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "14187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.