Individual provider Active NPI

James Martin Yuhnke, D.D.S.

  • General Practice Dentistry
  • Clinton Township, MI
National Provider Identifier
1891716130
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2101212028 Issued in MI
Practice address
44990 Heydenreich Rd
Suite E
Clinton Township, MI 48038-1558
Phone
(586) 463-2770
Fax
(586) 463-2779
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2101212028 MI Primary

Addresses

Primary practice location

44990 Heydenreich Rd
Suite E
Clinton Township, MI 48038-1558

Mailing address

44990 Heydenreich Rd
Suite E
Clinton Township, MI 48038-1558
Phone (586) 463-2770

Other identifiers 1

IdentifierTypeStateIssuer
4823689MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20141211001747 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951623412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2101212028MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891716130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44990 HEYDENREICH RD",
            "address_2": "SUITE E",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381558",
            "telephone_number": "586-463-2770",
            "fax_number": "586-463-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44990 HEYDENREICH RD",
            "address_2": "SUITE E",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381558",
            "telephone_number": "586-463-2770",
            "fax_number": "586-463-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUHNKE",
        "first_name": "JAMES",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2101212028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4823689",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.