Individual provider Active NPI

Margaret Mackenzie Yahn, DMD

  • Dentist
  • Battle Ground, WA
National Provider Identifier
1720760416
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61479749 Issued in WA
Practice address
1710 SW 9TH Ave Ste 120
Battle Ground, WA 98604-3267
Phone
(360) 474-4371
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D11864 OR
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE61479749 WA Primary

Addresses

Primary practice location

1710 SW 9TH Ave Ste 120
Battle Ground, WA 98604-3267

Mailing address

12205 SW Summer Crest Dr
Tigard, OR 97223-3244
Phone (503) 810-2159

Other practice location 1

1316 SW 13th Ave
Portland, OR 97201-3355
Phone (503) 235-0555

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

LicenseStateTypeSpecialty
D11864ORMDDentist
DE61479749WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental Arts NW Dentist 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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1720760416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 SW SUMMER CREST DR",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972233244",
            "telephone_number": "503-810-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 SW 9TH AVE STE 120",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043267",
            "telephone_number": "360-474-4371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 SW 13th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972013355",
            "country_code": "US",
            "telephone_number": "503-235-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAHN",
        "first_name": "MARGARET",
        "middle_name": "MACKENZIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11864",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61479749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.