Darrell M Yunk

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5152015 Issued in WI

Practice address

2830 N Mason St
Appleton, WI 54914-1353

Phone

(920) 731-2356

Fax

(920) 731-5354

NPI assigned

Dec 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Appleton Family Dentistry SC

  • General Practice Dentistry
  • Appleton, WI
  • NPI 1447325527
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841358082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 N MASON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141353",
            "telephone_number": "920-731-2356",
            "fax_number": "920-731-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 N MASON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141353",
            "telephone_number": "920-731-2356",
            "fax_number": "920-731-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNK",
        "first_name": "DARRELL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5152015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIAL ASSISTANCE (EDS)",
            "identifier": "33770100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Rebecca Young, ST
• Jodi Young, LCSW
• Shawn Marie Youngcronce, BS
• Dong Bo Yu
• Yuniq Care Inc
• Brianne Zaborowske, LCSW
• Douglas Randal Zabrowski, M.D.
• Nathan A Zachor, DC
• Amy Jo Zafarani, D.O.
• Daniel W Zajicek, PAC

• General Practice Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.

Verify at the official NPI Registry.