Active NPI
Steven C Yarbrough, D.M.D.
- Dentist
- Louisville, MS
National Provider Identifier
1760601041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2894-95
- Practice address
- 207 E Main St
Louisville, MS 39339-2703 - Phone
- (662) 773-5544
- Fax
- (662) 773-4870
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2894-95 | MS | Primary |
Addresses
Primary practice location
207 E Main St
Louisville, MS 39339-2703
Mailing address
207 E Main St
Louisville, MS 39339-2703
Phone (662) 773-5544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00660187 | Medicaid | MS |
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 |
|---|---|---|---|
| 2894-95 | MS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stenen C Yarbrough DMD | 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.
-
- General Practice Dentistry
- Louisville, MS
- NPI 1790087583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760601041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E MAIN ST",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392703",
"telephone_number": "662-773-5544",
"fax_number": "662-773-4870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E MAIN ST",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392703",
"telephone_number": "662-773-5544",
"fax_number": "662-773-4870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YARBROUGH",
"first_name": "STEVEN",
"middle_name": "C",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "2894-95",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00660187",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.