Nathan Richard Yetter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6616 Issued in AZ

Practice address

1249 N. Greenfield Rd. Ste 101
Mesa, AZ 85205

Phone

(480) 615-8888

Fax

(480) 615-8890

NPI assigned

Aug 11, 2006

Last updated

Feb 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• East Valley Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mesa, AZ
  • NPI 1174091342
  NPD Authorized official
• Lake Havasu Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lake Havasu City, AZ
  • NPI 1225759111
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1629089867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 E ANDRE AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979155",
            "telephone_number": "480-248-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 N. GREENFIELD RD. STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85205",
            "telephone_number": "480-615-8888",
            "fax_number": "480-615-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETTER",
        "first_name": "NATHAN",
        "middle_name": "RICHARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D06166",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Yee, OD
• Pridhvi Rajakumar Yelamanchili, MD
• Tze Yi Yeoh, MA, LAC
• Yi Le Dorcas Yeoh
• Floraeden Yerkovich
• Ka-Lai Yeung
• Reena Marie Gelig Ygot, PA-C
• Angel Yguado
• Jenny Yheulon, AGACNP
• Zelalem Yilma, M.D.

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.