Individual provider Active NPI

Kirk Andrew Yegerlehner, D.D.S.

  • General Practice Dentistry
  • Martinsville, IN
National Provider Identifier
1730386798
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010995A Issued in IN
Practice address
9351 State Road 144
Martinsville, IN 46151-5848
Phone
(317) 422-4944
Fax
(317) 422-4944
NPI assigned
Jul 2, 2007
Last updated
Jul 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12010995A IN Primary

Addresses

Primary practice location

9351 State Road 144
Martinsville, IN 46151-5848

Mailing address

9351 State Road 144
Martinsville, IN 46151-5848
Phone (317) 422-4944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200721002001 IN Order and Referring Only - DentistPractitioner - Dentist 1850715020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1730386798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 STATE ROAD 144",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461515848",
            "telephone_number": "317-422-4944",
            "fax_number": "317-422-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 STATE ROAD 144",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461515848",
            "telephone_number": "317-422-4944",
            "fax_number": "317-422-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGERLEHNER",
        "first_name": "KIRK",
        "middle_name": "ANDREW",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010995A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

Verify at the official NPI Registry.