Active NPI
Harry Ted Yampolsky, D.D.S.
- General Practice Dentistry
- Roslyn, PA
National Provider Identifier
1679552129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DSO23280L
- Practice address
- 1201 Easton Rd
Roslyn, PA 19001-2425 - Phone
- (215) 884-3131
- Fax
- (215) 884-2166
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DSO23280L | PA | Primary |
Addresses
Primary practice location
1201 Easton Rd
Roslyn, PA 19001-2425
Mailing address
1201 Easton Rd
Roslyn, PA 19001-2425
Phone (215) 884-3131
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150818005553 | PA | Order and Referring Only - Dentist | 0840505996 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DSO23280L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679552129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 EASTON RD",
"city": "ROSLYN",
"state": "PA",
"postal_code": "190012425",
"telephone_number": "215-884-3131",
"fax_number": "215-884-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 EASTON RD",
"city": "ROSLYN",
"state": "PA",
"postal_code": "190012425",
"telephone_number": "215-884-3131",
"fax_number": "215-884-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMPOLSKY",
"first_name": "HARRY",
"middle_name": "TED",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DSO23280L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roslyn, PA
Sources for this page
- 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.