Elana Marie York - de Hoyos

Primary specialty

DentistTaxonomy code 122300000X

License

2018021608 Issued in MO

Practice address

994 Diamond RDG Ste 200
Jefferson City, MO 65109-6885

Phone

(573) 298-4577

NPI assigned

Jul 20, 2018

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Diamond Ridge Dentistry LLC

  • General Practice Dentistry
  • Jefferson City, MO
  • NPI 1427800952
  NPD Authorized official

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1467939686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 MARKWAY MILLS CT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651010046",
            "telephone_number": "573-774-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 DIAMOND RDG STE 200",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096885",
            "telephone_number": "573-298-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK - DE HOYOS",
        "first_name": "ELANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2018021608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Wright, O.T. R-L
• Rodnesha Wright, LCSW
• Amy L Wyatt, AGPCNP
• Kara Wyrick, LPN
• Skander Yalaoui, PHARM. D
• Ruby Young, PLPC
• Joanna Younker, D.O.
• Your Rock Home Care, LLC
• Mohammad Yousuf, M.D
• Nicholas David Zahn, OD

• All providers in Jefferson City, MO
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.