Active NPI
Dr. Robert B. Yacko D.D.S.; P.C.
- General Practice Dentistry
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DR. ROBERT B. YACKO D.D.S.; P.C.
- Practice address
- 6750 W Peoria Ave Ste 134
Peoria, AZ 85345-9320 - Phone
- (623) 878-3722
- NPI assigned
- Dec 31, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert B Yacko, D.D.S.
- Title
- Dentist
- Phone
- (623) 878-3722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
6750 W Peoria Ave Ste 134
Peoria, AZ 85345-9320
Mailing address
6750 W Peoria Ave Ste 134
Peoria, AZ 85345-9320
Phone (623) 878-3722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 945033 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Dr Robert B Yacko DDS PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Peoria, AZ
- NPI 1609062876
Locations
6750 W Peoria Ave
Ste 134
Peoria, AZ 85345
Phone (623) 878-3722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Peoria, AZ
- NPI 1093765893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451520000000",
"number": "1770949000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 W PEORIA AVE STE 134",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853459320",
"telephone_number": "623-878-3722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 W PEORIA AVE STE 134",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853459320",
"telephone_number": "623-878-3722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. ROBERT B. YACKO D.D.S.; P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-31",
"last_updated": "2015-12-31",
"status": "A",
"authorized_official_last_name": "YACKO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "623-878-3722",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "945033",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.