Active NPI
Jeffrey David Yentz, DDS
- Dentist
- Monroe, MI
National Provider Identifier
1518121086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019893
- Practice address
- 1080 North Monroe Street
Monroe, MI 48162 - Phone
- (734) 242-8885
- NPI assigned
- Jul 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019893 | MI | Primary |
Addresses
Primary practice location
1080 North Monroe Street
Monroe, MI 48162
Mailing address
3860 Penberton Court
Ann Arbor, MI 48105
Phone (734) 646-2055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160222001623 | MI | Order and Referring Only - Dentist | 8729383245 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901019893 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David F. Yentz, D.D.S., P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Monroe, MI
- NPI 1164820593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1518121086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 PENBERTON COURT",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "48105",
"telephone_number": "734-646-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 NORTH MONROE STREET",
"city": "MONROE",
"state": "MI",
"postal_code": "48162",
"telephone_number": "734-242-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YENTZ",
"first_name": "JEFFREY",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
- Adam Yazback, DDS
- Abigail Yeary
- Tracy Yeary
- Andrea Lynn Oswald Yentz, DDS
- David F. Yentz, D.D.S., P.C.
- Kyle Dean Yerebeck
- Yinger Pharmacy Shoppe Inc (Yinger Pharmacy Shoppe)
- Yinger Pharmacy Shoppe Inc (Yinger Pharmacy Shoppe)
- Yinger Pharmacy Shoppe Inc (Yinger Pharmacy Shoppe)
- Chelsea Yingling, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.