Jordan Mary Yersky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS037442 Issued in PA

Practice address

5690 Perry Hwy
Erie, PA 16509-3565

Phone

(814) 836-0667

NPI assigned

May 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1639345523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 PERRY HWY",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093565",
            "telephone_number": "814-836-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 PERRY HWY",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165093565",
            "telephone_number": "814-836-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERSKY",
        "first_name": "JORDAN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Yatzor, MA,NCC,LPC
• Terrence W Yeager, LPC,CAC,CEAP
• Sarah Elizabeth Yearwood
• Joe Yeatman, LMT
• Michael S Yep, DO
• Andrea L Yochim, MSN, CRNP
• Kayla Yoculan
• Dustin Richard Yoder
• Pararajasingham Yogeswaran, MD
• Brooke Yonko

• General Practice Dentistry in Erie, PA
• Providers in Erie, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.