NPIMap

Organization Active NPI

W. Trent Yadon, DDS

  • Dental Clinic/Center
  • Woodward, OK
National Provider Identifier
1871767707
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4852 Issued in OK
Legal business name
W. TRENT YADON, DDS
Practice address
2211 Downs Ave
Woodward, OK 73801-5309
Phone
(580) 256-8668
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Trent Yadon, DDS
Title
Owner
Phone
(580) 256-8668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4852 OK Primary

Addresses

Primary practice location

2211 Downs Ave
Woodward, OK 73801-5309

Mailing address

2211 Downs Ave
Woodward, OK 73801-5309
Phone (580) 256-8668

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1871767707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 DOWNS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738015309",
            "telephone_number": "580-256-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 DOWNS AVE",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738015309",
            "telephone_number": "580-256-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. TRENT YADON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "YADON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-256-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "4852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.