Active NPI
Larry Yeshman, DPM
- Podiatrist
- Dartmouth, MA
National Provider Identifier
1588642052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 428481
- Practice address
- 26 Shannon Way
Dartmouth, MA 02747-1182 - Phone
- (508) 763-4025
- Fax
- (508) 763-4303
- NPI assigned
- Jan 5, 2006
- Last updated
- Jun 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 428481 | MA | Primary |
Addresses
Primary practice location
26 Shannon Way
Dartmouth, MA 02747-1182
Mailing address
PO Box 50432
Claimnet
New Bedford, MA 02745-0015
Phone (508) 965-3335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001617 | Other | MA | TUFTS |
| 0341347 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1617 | MA | MD | Counseling Psychologist |
| 428481 | MA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433462400000",
"number": "1588642052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50432",
"address_2": "CLAIMNET",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027450015",
"telephone_number": "508-965-3335",
"fax_number": "508-763-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 SHANNON WAY",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471182",
"telephone_number": "508-763-4025",
"fax_number": "508-763-4303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YESHMAN",
"first_name": "LARRY",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2015-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "428481",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "001617",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0341347",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.