Organization Active NPI

David a. Yates & Associates, LLC

Doing business as Jonesboro Prosthetic & Orthotic Laboratory

  • Prosthetic/Orthotic Supplier
  • Jonesboro, AR
National Provider Identifier
1780622688
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
DAVID A. YATES & ASSOCIATES, LLC
Doing business as
Jonesboro Prosthetic & Orthotic Laboratory
Practice address
2811 Longview Dr
Jonesboro, AR 72401-5919
Phone
(870) 932-6436
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Mr. Rob A Yates, CPO
Title
President
Phone
(870) 932-6436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2811 Longview Dr
Jonesboro, AR 72401-5919

Mailing address

PO Box 9303
Jonesboro, AR 72403-9303

Other identifiers 2

IdentifierTypeStateIssuer
117889716MedicaidAR
1780622688MedicaidMO

Other names 3

  • Jonesboro Prosthetic & Orthotic Laboratory Doing business as
  • David A. Yates & Associates, Inc. Former legal business name
  • JP&O Prosthetic & Orthotic Laboratory Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1780622688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9303",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724039303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 LONGVIEW DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015919",
            "telephone_number": "870-932-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. YATES & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-932-6436",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117889716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780622688",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonesboro Prosthetic & Orthotic Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "David A. Yates & Associates, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "JP&O Prosthetic & Orthotic Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.