NPIMap

Organization Active NPI

Joseph L Yeargain DPM PLLC

Doing business as Joseph Lee Yeargain Sole MBR

  • Foot & Ankle Surgery Podiatrist
  • Dallas, TX
National Provider Identifier
1588379952
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
JOSEPH L YEARGAIN DPM PLLC
Doing business as
Joseph Lee Yeargain Sole MBR
Practice address
1411 North Beckley Ave
Ste 456
Dallas, TX 75203-1201
Phone
(214) 824-3851
Fax
(214) 824-3852
NPI assigned
Jan 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Ryan B Stillwell
Title
Billing Manager
Phone
(615) 851-0144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

1411 North Beckley Ave
Ste 456
Dallas, TX 75203-1201

Mailing address

3801 Gaston Ave
Ste 330
Dallas, TX 75246-1541
Phone (214) 824-3851

Other names 1

  • Joseph Lee Yeargain Sole MBR Doing business as

National Provider Directory

National Provider Directory

Locations

3801 Gaston Ave
Ste 330
Dallas, TX 75246
Phone (214) 824-3851

1411 N Beckley Ave
Ste 456
Dallas, TX 75203
Phone (214) 824-3851

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1588379952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 GASTON AVE",
            "address_2": "STE 330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461541",
            "telephone_number": "214-824-3851",
            "fax_number": "214-824-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 NORTH BECKLEY AVE",
            "address_2": "STE 456",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031201",
            "telephone_number": "214-824-3851",
            "fax_number": "214-824-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH L YEARGAIN DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-19",
        "last_updated": "2023-12-07",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "STILLWELL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "615-851-0144"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph Lee Yeargain Sole MBR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joseph Lee Yeargain Sole MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.