Peter M Yonan, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6909 Issued in OR

Practice address

625 NW Colorado Ave
Bend, OR 97701-3257

Phone

(541) 383-0754

Fax

(541) 383-8128

NPI assigned

Jul 29, 2005

Sex

Male

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)

Enrolled

State licenses

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528068657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 NW COLORADO AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013257",
            "telephone_number": "541-383-0754",
            "fax_number": "541-383-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 NW COLORADO AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013257",
            "telephone_number": "541-383-0754",
            "fax_number": "541-383-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONAN",
        "first_name": "PETER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Shih Yee, M.D.
• Stephanie C Yenne, MCOUN
• Laurel B. Yocom, M.D.
• Emily Ann Yoder
• Kathryn Yokoyama
• Hannah Yorra, P.T.
• Jordan Yost, LPC, ACS, NCC, PMH-C
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• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.