John Harold Yaeger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8926 Issued in MN

Practice address

7490 E Fish Lake Rd
Maple Grove, MN 55311-2736

Phone

(763) 420-4235

Fax

(763) 420-5488

NPI assigned

Jul 10, 2006

Last updated

Jan 20, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• 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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1659305639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112736",
            "telephone_number": "763-420-4235",
            "fax_number": "763-420-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 E FISH LAKE RD",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112736",
            "telephone_number": "763-420-4235",
            "fax_number": "763-420-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAEGER",
        "first_name": "JOHN",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8926",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D8926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELFARE NUMBER",
            "identifier": "665818100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Wysocki, AUD
• Geashia Hope Xiong
• Kimberly Xiong
• Mai N Xiong
• Nasli S Xiong
• Naima Ali Yahya, APRN CNP
• Yamaco Home Health Medical Supplies Inc
• Esther Yang
• Gao Sheng N Yang
• Mai Yang

• General Practice Dentistry in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.