Active NPI
Yakeika Lynette Vann, DDS
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1720105661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3400-06
- Practice address
- 5716 Wyalong Dr
Ste. C
Charlotte, NC 28227-7847 - Phone
- (601) 630-5188
- NPI assigned
- Mar 24, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 3400-06 | MS | Primary |
Addresses
Primary practice location
5716 Wyalong Dr
Ste. C
Charlotte, NC 28227-7847
Mailing address
5716 Wyalong Dr
Ste. C
Charlotte, NC 28227-7847
Phone (601) 630-5188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02629792 | Medicaid | MS | |
| 5908012 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3400-06 | MS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yakeika L Vann DDS PLLC | Current | Accepting new patients |
Locations
5716 Wyalong Dr
Ste C
Charlotte, NC 28227
Phone (601) 630-5188
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.
-
- Dentist
- Charlotte, NC
- NPI 1255772802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1720105661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 WYALONG DR",
"address_2": "STE. C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282277847",
"telephone_number": "601-630-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 WYALONG DR",
"address_2": "STE. C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282277847",
"telephone_number": "601-630-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANN",
"first_name": "YAKEIKA",
"middle_name": "LYNETTE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-24",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "3400-06",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02629792",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5908012",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.