Active NPI
Jerome Nixon Yeoumans, DDS PA
- Dentist
- Towson, MD
National Provider Identifier
1851450340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5245
- Practice address
- 7402 York Road
Suite 303
Towson, MD 21204-7522 - Phone
- (410) 321-1133
- Fax
- (410) 321-0652
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 5245 | MD | Primary |
Addresses
Primary practice location
7402 York Road
Suite 303
Towson, MD 21204-7522
Mailing address
6453 Cloister Gate Drive
Towson, MD 21212
Phone (410) 377-0567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6790 | Other | MD | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851450340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6453 CLOISTER GATE DRIVE",
"city": "TOWSON",
"state": "MD",
"postal_code": "21212",
"telephone_number": "410-377-0567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7402 YORK ROAD",
"address_2": "SUITE 303",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047522",
"telephone_number": "410-321-1133",
"fax_number": "410-321-0652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEOUMANS",
"first_name": "JEROME",
"middle_name": "NIXON",
"credential": "DDS PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "5245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "6790",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
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.