Trent David Yoder, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032592 Issued in IL

Practice address

212 N Davenport St
Metamora, IL 61548-9395

Phone

(309) 367-2378

NPI assigned

Jul 21, 2017

Last updated

Jun 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Krallyoder PC

  dba Metamora Family Dental

  • General Practice Dentistry
  • Metamora, IL
  • NPI 1891957726
  NPD (past)
• Kevin G. Eubanks, D.M.D

  dba Southern Dental Associates

  • Dental Clinic/Center
  • Aiken, SC
  • NPI 1013435429
  NPD (past)

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1689197691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N DAVENPORT ST",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615489395",
            "telephone_number": "309-367-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N DAVENPORT ST",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615489395",
            "telephone_number": "309-367-2378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Waterloo St SW",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298013763",
            "country_code": "US",
            "telephone_number": "803-641-3883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 Crepe Myrtle Drive",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "29803",
            "country_code": "US",
            "telephone_number": "803-641-3883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YODER",
        "first_name": "TRENT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.8983.GD",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "trentyoderdmd@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "212 N Davenport St",
            "city": "Metamora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "615489395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Elizabeth Turner, M.A., CCC-SLP
• Michael Whitford, MD
• Timothy J Williams, M.D.
• Susan Wolf, APN
• Woodford County Spec Ed Assoc

• General Practice Dentistry in Metamora, IL
• Providers in Metamora, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.