Active NPI
Jasin M Youmans, DMD
- Dentist
- Vero Beach, FL
National Provider Identifier
1902942873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN16479
- Practice address
- 2275 20TH St
Vero Beach, FL 32960-3045 - Phone
- (321) 474-9518
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN16479 | FL | |
| Dentist | 122300000X | DN16479 | FL | Primary |
Addresses
Primary practice location
2275 20TH St
Vero Beach, FL 32960-3045
Mailing address
PO Box 541938
Merritt Island, FL 32954-1938
Phone (321) 474-9518
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN16479 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291593600000",
"number": "1902942873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 541938",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329541938",
"telephone_number": "321-474-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 20TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329603045",
"telephone_number": "321-474-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUMANS",
"first_name": "JASIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2010-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN16479",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN16479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.