Yolanda Cheryl Clark, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401102707 Issued in VA

Practice address

4239 Holland Rd
Suite 762-a
Virginia Beach, VA 23452-1941

Phone

(757) 467-3618

Fax

(757) 467-1455

NPI assigned

Oct 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Yolanda Cheryl Robinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 30, 2015 through Sep 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lynne C. Faxio, DDS, P.C.

  • Dentist
  • Suffolk, VA
  • NPI 1992006449
  NPD (past)
• Tremont Road Dental, PC

  • General Practice Dentistry
  • Virginia Beach, VA
  • NPI 1780771378
  NPD (past)

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

{
    "created_epoch": "1129939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1760472690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 FORDHAM DRIVE",
            "address_2": "STE 106",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23464",
            "telephone_number": "757-451-7003",
            "fax_number": "757-420-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 HOLLAND RD",
            "address_2": "SUITE 762-A",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521941",
            "telephone_number": "757-467-3618",
            "fax_number": "757-467-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "YOLANDA",
        "middle_name": "CHERYL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-22",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401102707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLANDA",
            "last_name": "ROBINSON",
            "middle_name": "CHERYL",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meridith Elaine Clark, LPTA
• Michele J Clark, LPC
• Midajee Clark
• Paulette Elaine Clark
• Valerie Jordan Clark, LPC
• April L Clarke, LCSW
• Janelle Clarke
• Kimone Clarke
• Laura Clarke, ATC
• Lisa Clarke

• General Practice Dentistry in Virginia Beach, VA
• Providers in Virginia Beach, 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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.