NPIMap

Organization Active NPI

Lindsay C Yancey Jr DDS, PC

  • Dentist
  • Winston Salem, NC
National Provider Identifier
1679904304
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4458 Issued in NC
Legal business name
LINDSAY C YANCEY JR DDS, PC
Practice address
481 Shepherd St
Winston Salem, NC 27103-1627
Phone
(336) 768-8850
Fax
(336) 768-0135
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Dr. Lindsay C Yancey Jr., DDSNPI 1417020983
Title
President
Phone
(336) 768-8850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4458 NC Primary

Addresses

Primary practice location

481 Shepherd St
Winston Salem, NC 27103-1627

Mailing address

481 Shepherd St
Winston Salem, NC 27103-1627
Phone (336) 768-8850

National Provider Directory

National Provider Directory

Locations

481 Shepherd St
Winston Salem, NC 27103
Phone (336) 768-8850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1679904304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 SHEPHERD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031627",
            "telephone_number": "336-768-8850",
            "fax_number": "336-768-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 SHEPHERD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031627",
            "telephone_number": "336-768-8850",
            "fax_number": "336-768-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY C YANCEY JR DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-768-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "4458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.