Active NPI
Charles Oberlin Yost III, DDS
- Dentist
- Hudson, NC
National Provider Identifier
1922170455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3322
- Practice address
- 150 Cedar Valley Road
Hudson, NC 28638 - Phone
- (828) 728-2904
- NPI assigned
- Nov 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3322 | NC | Primary |
Addresses
Primary practice location
150 Cedar Valley Road
Hudson, NC 28638
Mailing address
150 Cedar Valley Road
Hudson, NC 28638
Phone (828) 728-2904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8999668 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170321000456 | NC | Order and Referring Only - Dentist | 8426333139 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922170455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CEDAR VALLEY ROAD",
"city": "HUDSON",
"state": "NC",
"postal_code": "28638",
"telephone_number": "828-728-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CEDAR VALLEY ROAD",
"city": "HUDSON",
"state": "NC",
"postal_code": "28638",
"telephone_number": "828-728-2904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOST",
"first_name": "CHARLES",
"middle_name": "OBERLIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "3322",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8999668",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, NC
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.