Nicas Yiannias, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011372A Issued in IN

Practice address

5943 Central Ave
Portage, IN 46368-2946

Phone

(219) 762-9567

Fax

(219) 762-8842

NPI assigned

Jun 1, 2007

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

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1548462526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 CENTRAL AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682946",
            "telephone_number": "312-375-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5943 CENTRAL AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682946",
            "telephone_number": "219-762-9567",
            "fax_number": "219-762-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIANNIAS",
        "first_name": "NICAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-025967",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011372A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• With Open Arms Residential Care LLC
• Samantha Katherine Wojcik, FNP
• Women's Medical Care LLC
• Christopher Yedinak
• Kais Yehyawi, MD
• Tiffany Ann Young
• Candice Michelle Yu-Fleming, MD
• Kristin Zakutansky, PT
• John Anthony Zapata, CAPRC, CPSP
• Michael A Zimpfer, R.PH.

• General Practice Dentistry in Portage, IN
• Providers in Portage, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.