Active NPI
Arthur V Yacenda, DDS
- Dentist
- Yukon, WV
National Provider Identifier
1891197349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2226
- Practice address
- HC 32 Box 78
Yukon, WV 24892-7602 - Phone
- (304) 875-4612
- NPI assigned
- Sep 16, 2014
- Last updated
- Sep 16, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2226 | WV | Primary |
Addresses
Primary practice location
HC 32 Box 78
Yukon, WV 24892-7602
Mailing address
HC 32 Box 78
Yukon, WV 24892-7602
Phone (304) 875-4612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013503100 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Arthur V. Yacenda DDS Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Yukon, WV
- NPI 1295810612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1891197349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 32 BOX 78",
"city": "YUKON",
"state": "WV",
"postal_code": "248927602",
"telephone_number": "304-875-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 32 BOX 78",
"city": "YUKON",
"state": "WV",
"postal_code": "248927602",
"telephone_number": "304-875-4612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACENDA",
"first_name": "ARTHUR",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "2226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013503100",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yukon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.