Organization Active NPI

Yellow House Dental & Implant Center, PLLC

  • General Practice Dentistry
  • Lubbock, TX
National Provider Identifier
1699288423
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
YELLOW HOUSE DENTAL & IMPLANT CENTER, PLLC
Practice address
2420 Quaker Ave Ste 104
Lubbock, TX 79410-1837
Phone
(806) 797-0341
Fax
(806) 797-1607
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Authorized official

Name
Vicki Lauren Myers
Title
Patient Relations
Phone
(806) 797-0341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X TX Primary

Addresses

Primary practice location

2420 Quaker Ave Ste 104
Lubbock, TX 79410-1837

Mailing address

2420 Quaker Ave Ste 104
Lubbock, TX 79410-1837
Phone (806) 797-0341

National Provider Directory

National Provider Directory

Locations

2420 Quaker Ave
Ste 104
Lubbock, TX 79410
Phone (806) 797-0341

Practitioners & affiliated clinicians

Practitioners 3

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": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510704000000",
    "number": "1699288423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 QUAKER AVE STE 104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101837",
            "telephone_number": "806-797-0341",
            "fax_number": "806-797-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 QUAKER AVE STE 104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101837",
            "telephone_number": "806-797-0341",
            "fax_number": "806-797-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW HOUSE DENTAL & IMPLANT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "PATIENT RELATIONS",
        "authorized_official_telephone_number": "806-797-0341"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.