Edward Yeates, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13909845-9923 Issued in UT

Practice address

6710 S Blackstone Rd Ste 101
Cottonwood Heights, UT 84121-6240

Phone

(801) 278-0458

NPI assigned

Apr 17, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Salt City Dental, P.a.

  • General Practice Dentistry
  • Hutchinson, KS
  • NPI 1629811484
  NPD (past)
• Shawn D Jensen DDS,PA

  • Dental Clinic/Center
  • Hutchinson, KS
  • NPI 1750574042
  NPD (past)

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1548014210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 S BLACKSTONE RD STE 101",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841216240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 S BLACKSTONE RD STE 101",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841216240",
            "telephone_number": "801-278-0458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Compound Dr",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "KS",
            "postal_code": "675024300",
            "country_code": "US",
            "telephone_number": "620-663-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEATES",
        "first_name": "EDWARD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-17",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62270",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "13909845-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred Wulf
• Martha Katalin Wyld, LCMHC
• Jennifer Yarin, DPT
• Kara Yazzie
• Rachel Yeager
• Rebekah Yi
• Sydney Young
• Your Path Therapy LLC
• Amy M Zamudio, COTA/L
• Shannon Lee Zaryoun, APRN

• General Practice Dentistry in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.