Individual provider Active NPI

Daniel James Yeager, D.D.S.

  • General Practice Dentistry
  • Richmond, VA
National Provider Identifier
1619238763
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413599 Issued in VA
Practice address
10442 Patterson Ave
Richmond, VA 23238-5134
Phone
(804) 741-8689
NPI assigned
Jun 5, 2012
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401413599 VA
General Practice Dentistry 1223G0001X 0401413599 VA Primary

Addresses

Primary practice location

10442 Patterson Ave
Richmond, VA 23238-5134

Mailing address

10442 Patterson Ave
Richmond, VA 23238-5134
Phone (804) 741-8689

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401413599VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yeager Dental Group, PLLC CurrentSince Mar 16, 2020 Accepting new patients
Karen S. McAndrew DMD,Ms,PLC PastSince Mar 16, 2020 Accepting new patients

Locations

10442 Patterson Ave
Richmond, VA 23238
Phone (804) 741-8689

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1619238763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10442 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385134",
            "telephone_number": "804-741-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10442 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385134",
            "telephone_number": "804-741-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-05",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401413599",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.