Dakota Dental Clay Yeoman DDS Prof. LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M985 Issued in SD

Legal business name

DAKOTA DENTAL CLAY YEOMAN DDS PROF. LLC

Practice address

517 N Main St
Redfield, SD 57469-1208

Phone

(605) 472-3700

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clay Lewis Yeoman, DDSNPI 1447364377

Title

Owner

Phone

(605) 472-3700

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clay Lewis Yeoman, DDS

  • General Practice Dentistry
  • Redfield, SD
  • NPI 1447364377
  NPD (past) Authorized official
• Jade Koch, DDS

  • General Practice Dentistry
  • Redfield, SD
  • NPI 1174252746
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861549883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691208",
            "telephone_number": "605-472-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "city": "REDFIELD",
            "state": "SD",
            "postal_code": "574691208",
            "telephone_number": "605-472-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA DENTAL CLAY YEOMAN DDS PROF. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEOMAN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-472-3700",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Redfield (Community Memorial Hospital)
• City of Redfield (Community Memorial Hospital)
• City of Redfield (Redfield Clinic)
• Lisa Cosato
• Karlie R Coyle, COTA
• Dewi Frances Tonelete Depositario-Cabacar, MD
• Eastern Star Home of South Dakota Inc
• Eastern Star Home of South Dakota Inc.
• Cathy Frericks, PT
• Olivia Full, DPT

• General Practice Dentistry in Redfield, SD
• Providers in Redfield, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.