Active NPI
Lindsey Yates, DDS
- Dentist
- Thornton, CO
National Provider Identifier
1861641011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00202747
- Practice address
- 550 Thornton Pkwy
Ste 240a
Thornton, CO 80229-2100 - Phone
- (303) 280-8878
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.027778 | IL | |
| Dentist | 122300000X | 00202747 | CO | Primary |
| Dentist | 122300000X | 0547631 | NY |
Addresses
Primary practice location
550 Thornton Pkwy
Ste 240a
Thornton, CO 80229-2100
Mailing address
7070 W Virginia Ave
Unit C208
Lakewood, CO 80226-3146
Phone (516) 433-9166
Other names 1
- Dr. Lindsey Krecko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 12, 2020 through Dec 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00202747 | CO | MD | Dentist |
| 019.027778 | IL | MD | Dentist |
| 0547631 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thornton Youth Dentistry, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Thornton, CO
- NPI 1407947716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1861641011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7070 W VIRGINIA AVE",
"address_2": "UNIT C208",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263146",
"telephone_number": "516-433-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 THORNTON PKWY",
"address_2": "STE 240A",
"city": "THORNTON",
"state": "CO",
"postal_code": "802292100",
"telephone_number": "303-280-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATES",
"first_name": "LINDSEY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.027778",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00202747",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0547631",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "KRECKO",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.