Marilyn Sampedro Yaber, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

RES.3454 Issued in OH

Practice address

500 Gypsy LN
3Rd Floor, Dental Clinic
Youngstown, OH 44504-1315

Phone

(330) 884-3058

Fax

(330) 884-5788

NPI assigned

Jun 13, 2014

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

Other names 1

• Ms. Marilyn Sampedro Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• HealthSun Health Plans Network

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.

• Ankle and Foot Care Centers

  • Foot & Ankle Surgery Podiatrist
  • Ravenna, OH
  • NPI 1154707818
  NPD (past)

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1497169718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "address_2": "3RD FLOOR, DENTAL CLINIC",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-3058",
            "fax_number": "330-884-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "address_2": "3RD FLOOR, DENTAL CLINIC",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-3058",
            "fax_number": "330-884-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABER",
        "first_name": "MARILYN",
        "middle_name": "SAMPEDRO",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "SAMPEDRO",
            "prefix": "MS.",
            "credential": "R.D.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tomeka Wright
• Carolyn Wyand, OTR/L
• Kayla Wylie
• Sarah A Wynne
• Maria Xides
• Hanadee F Yacoub
• Whitney Yaeger
• Deborah Kay Yaich, AUD
• Shaunelle Yancey
• Daniel Yanek, PT, DPT

• Dentist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.