Mervyn Yankelson, BDS.,MSC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

12924 Issued in TX

Practice address

6800 W Gate Blvd
Suite 136
Austin, TX 78745-4883

Phone

(512) 442-3480

Fax

(512) 442-7274

NPI assigned

Jan 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922165059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 MAURY HOLW",
            "address_2": "136",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787508257",
            "telephone_number": "512-346-9621",
            "fax_number": "512-346-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 W GATE BLVD",
            "address_2": "SUITE 136",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787454883",
            "telephone_number": "512-442-3480",
            "fax_number": "512-442-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANKELSON",
        "first_name": "MERVYN",
        "name_prefix": "Dr.",
        "credential": "BDS.,MSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "12924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mi Mickey Yang, MD
• Rachel Sedlacek Yang, PT, DPT
• Roderick Yang, MD
• Yueyang Ma Yang
• Thomas Steven Yanger, D.O.
• Alexander Yap
• Hashmatullah Yaquby Sr.
• Ky Edwards Yarborough, PA-C
• Danielle Patrice Yarbrough, MD
• Derek Andrew Yarbrough, SLP-CCC

• Prosthodontics in Austin, TX
• Providers in Austin, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.