Yvonne Mack, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416872 Issued in VA

Practice address

1011 W Little Creek Rd Ste a
Norfolk, VA 23505-2025

Phone

(757) 440-7955

NPI assigned

Jul 27, 2018

Last updated

Jun 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Su McNeill, DMD, PLLC

  dba O'Keefe Family Dental

  • Dentist
  • Norfolk, VA
  • NPI 1053853911
  NPD

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1740767276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W LITTLE CREEK RD STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235052025",
            "telephone_number": "757-440-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W LITTLE CREEK RD STE A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235052025",
            "telephone_number": "757-440-7955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Broad Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232490001",
            "country_code": "US",
            "telephone_number": "804-675-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0442000328",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0442000328",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Lyn Maccaskill-Whitethorne, MSED
• Patrick Maceachern
• Ashley Brianna Machmer
• Alexandra Sledd Mack, M.D.
• Marie Mack, MD
• Teka Christiane Mackey, LCSW
• Erin Macmichael
• Madan Periodontics and Implant Dentistry PLLC
• Holly Ann Maddox, AGPCNP-BC
• Brittney Madison-Shorts

• General Practice Dentistry in Norfolk, VA
• Providers in Norfolk, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.