George M. Yellich, DDS, Ms., Inc. and Cheng, DDS, MD, Inc, Partnership

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

23580 Issued in CA

Legal business name

GEORGE M. YELLICH, DDS, MS., INC. AND CHENG, DDS, MD, INC, PARTNERSHIP

Practice address

1663 Dominican Way
Suite 112
Santa Cruz, CA 95065-1527

Phone

(831) 475-0221

Fax

(831) 475-3573

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Tyese K Evans

Title

Practice Administrator

Phone

(831) 475-0221

Specialties & licenses 1

Addresses

Other names 1

• Santa Cruz Oral and Maxillofacial Surgery Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chien Yuan Cheng, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Cruz, CA
  • NPI 1083728414
  NPD (past)
• George Michael Yellich, DDS MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Cruz, CA
  • NPI 1841304276
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1881869337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 DOMINICAN WAY",
            "address_2": "SUITE 112",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651527",
            "telephone_number": "831-475-0221",
            "fax_number": "831-475-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 DOMINICAN WAY",
            "address_2": "SUITE 112",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651527",
            "telephone_number": "831-475-0221",
            "fax_number": "831-475-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M. YELLICH, DDS, MS., INC. AND CHENG, DDS, MD, INC, PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TYESE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "831-475-0221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "23580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Geissberger
• Francine Genta
• Joseph Mark Gentile
• Nathan Gentry, DPT
• Geoff Ashmun
• Julia George
• Dilyana Georgieva
• Wellington Burnham Georgiou, PMHNP-BC
• Gerald Patrick O'Grady, M.D., Inc.
• Alexandra Lynn Gerdisch, DC

• Oral and Maxillofacial Surgery (Dentist) in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.