Active NPI
Derrek Arthur Yelton, DDS
- Dentist
- Las Vegas, NV
National Provider Identifier
1790715951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2305
- Practice address
- 5660 W. Flamingo Rd
Suite a
Las Vegas, NV 89103-2312 - Phone
- (702) 365-1743
- Fax
- (702) 365-1167
- NPI assigned
- Jul 4, 2006
- 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 | 2305 | NV | Primary |
Addresses
Primary practice location
5660 W. Flamingo Rd
Suite a
Las Vegas, NV 89103-2312
Mailing address
5660 W. Flamingo Rd
Suite a
Las Vegas, NV 89103-2312
Phone (702) 365-1743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790715951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5660 W. FLAMINGO RD",
"address_2": "SUITE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891032312",
"telephone_number": "702-365-1743",
"fax_number": "702-365-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5660 W. FLAMINGO RD",
"address_2": "SUITE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891032312",
"telephone_number": "702-365-1743",
"fax_number": "702-365-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YELTON",
"first_name": "DERREK",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "2305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.