Yellowstone Dental Associates, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YELLOWSTONE DENTAL ASSOCIATES, PLLC

Practice address

115 E Chapel Rd
Pocatello, ID 83201-3540

Phone

(208) 232-3500

NPI assigned

Apr 6, 2020

Last updated

Apr 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor Ashcraft

Title

Practice Manager

Phone

(208) 716-5669

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Casey Ryan Orr, DMD

  • Dentist
  • Pocatello, ID
  • NPI 1669369732
  NPD

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1588293146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E CHAPEL RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E CHAPEL RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013540",
            "telephone_number": "208-232-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "ASHCRAFT",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "208-716-5669"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hao Yan
• Daniel Paul Yates, D.M.D.
• Leathie Yeaman, APRN CNP
• Maria Yeash, D.M.D.
• Shirley Yellowhair, CST
• Natalie Yoho
• Patrick Hyun Yoo
• Yost and Yost Pediatrics
• Christian Carter Yost, D.O.
• Gentry C Yost, MD

• General Practice Dentistry in Pocatello, ID
• Providers in Pocatello, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.