Individual provider Active NPI

Stephan Arthur Yamokoski, DDS

  • General Practice Dentistry
  • Cuyahoga Falls, OH
National Provider Identifier
1871695221
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14555 Issued in OH
Practice address
1630 Schiller
#6
Cuyahoga Falls, OH 44223
Phone
(330) 923-2664
Fax
(330) 928-4223
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14555 OH
General Practice Dentistry 1223G0001X 14555 OH Primary

Addresses

Primary practice location

1630 Schiller
#6
Cuyahoga Falls, OH 44223

Mailing address

1630 Schiller
#6
Cuyahoga Falls, OH 44223
Phone (330) 923-2664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20161202002076 OH Order and Referring Only - DentistPractitioner - Dentist 8820189913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14555OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1871695221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SCHILLER",
            "address_2": "#6",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-923-2664",
            "fax_number": "330-928-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 SCHILLER",
            "address_2": "#6",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-923-2664",
            "fax_number": "330-928-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMOKOSKI",
        "first_name": "STEPHAN",
        "middle_name": "ARTHUR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "14555",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.