Carl Thomas Yannotty Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024937L Issued in PA

Practice address

110 Stirling Village Dr
Butler, PA 16001-6730

Phone

(724) 283-8210

Fax

(724) 283-9310

NPI assigned

Jan 26, 2007

Sex

Male

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 PA

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

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649326133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 STIRLING VILLAGE DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160016730",
            "telephone_number": "724-283-8210",
            "fax_number": "724-283-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 STIRLING VILLAGE DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160016730",
            "telephone_number": "724-283-8210",
            "fax_number": "724-283-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNOTTY",
        "first_name": "CARL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024937L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mailinn Eleana Wong-Perez, M.D.
• Kara Wood
• Michael Woodward
• Allison Julianna Wright, PA-C
• Sijia Xu
• Carolyn Gregorio Yap, M.D.
• Olima Ochilboevna Yeager, MA,LPC
• Leslie June Yerace, PSYD
• C Thomas Yost, M.D.
• William Yost

• General Practice Dentistry in Butler, PA
• Providers in Butler, 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 Jul 8, 2007; 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.