Robert Yacko, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D4166 Issued in AZ

Legal business name

ROBERT YACKO, DDS, PC

Practice address

6750 W Peoria Ave
Suite 134
Peoria, AZ 85345-9316

Phone

(623) 878-3722

Fax

(623) 486-8380

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Robert B Yacko, DDSNPI 1093765893

Title

Dentist

Phone

(623) 878-3722

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dr Robert B Yacko DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Robert B. Yacko D.D.S.; P.C.

  • General Practice Dentistry
  • Peoria, AZ
  • NPI 1770949000
  NPD tax ID

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.

• Robert B Yacko, DDS;PC

  • General Practice Dentistry
  • Peoria, AZ
  • NPI 1093765893
  NPD (past) Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1609062876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 W PEORIA AVE",
            "address_2": "SUITE 134",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853459316",
            "telephone_number": "623-878-3722",
            "fax_number": "623-486-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 W PEORIA AVE",
            "address_2": "SUITE 134",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853459316",
            "telephone_number": "623-878-3722",
            "fax_number": "623-486-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT YACKO, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "YACKO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-878-3722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D4166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST TRIENNIAL",
            "identifier": "D4166",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tammara Roberson, PHARMD.
• Robert D Matthews, DMD, PLLC (Happy Campers Pediatric Dentistry)
• Robert Holyoak DMD
• Robert J. Demarco,D.M.D.,P.C.
• Robert P Luberto DO PC (Arrowhead Family & Sports Medicine)
• Aubrianna Jordan Robert, PHARMD
• Catherine Ann Roberts, COTA
• Elizabeth Jeanne Roberts, MSW
• Michele Roberts, PA-C
• Nancy Roberts, LMSW

• Dental Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.