Individual provider Active NPI

Kenneth Jeffrey Yost, DMD

  • Dentist
  • Wilmington, DE
National Provider Identifier
1689077547
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G1-00000989 Issued in DE
Practice address
1407 Foulk Rd
Suite 202
Wilmington, DE 19803-2762
Phone
(302) 477-1888
Fax
(302) 477-1845
NPI assigned
Oct 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X G1-00000989 DE Primary

Addresses

Primary practice location

1407 Foulk Rd
Suite 202
Wilmington, DE 19803-2762

Mailing address

1407 Foulk Rd
Suite 202
Wilmington, DE 19803-2762
Phone (302) 477-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20160519000245 DE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3476842139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-00000989DEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth J. Yost, DMD,PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1689077547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 FOULK RD",
            "address_2": "SUITE 202",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032762",
            "telephone_number": "302-477-1888",
            "fax_number": "302-477-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 FOULK RD",
            "address_2": "SUITE 202",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032762",
            "telephone_number": "302-477-1888",
            "fax_number": "302-477-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOST",
        "first_name": "KENNETH",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-00000989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.