Individual provider Active NPI

Larry Yeshman, DPM

  • Podiatrist
  • Dartmouth, MA
National Provider Identifier
1588642052
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
428481 Issued in MA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001617OtherMATUFTS
0341347MedicaidMA

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

LicenseStateTypeSpecialty
1617MAMDCounseling Psychologist
428481MAMDPodiatrist

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.

Verify at the official NPI Registry.