Yanisis Romero, DMD, CAGS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN124035 Issued in GA

Practice address

930 E Cherry St
Jesup, GA 31546-4005

Phone

(912) 427-2001

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Mar 2, 2020 through Mar 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John K Weaver, DMD PC

  dba Weaver Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Brunswick, GA
  • NPI 1477272151
  NPD (past)
• Shoopak & Barry, PL

  dba Orthodontic Specialists of Florida

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pensacola, FL
  • NPI 1184759334
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1932669371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E CHERRY ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315464005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E CHERRY ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315464005",
            "telephone_number": "912-427-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "YANISIS",
        "name_prefix": "Dr.",
        "credential": "DMD, CAGS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN124035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J. Lewis, D.O., P.C. (Peachtree Obstetrics and Gynecology)
• Robert a Pumpelly IV MD PC
• Robert M Patacsil DO PC (Robert M Patacsil DO)
• Hannah Carters Roberts, PA-C
• Brigitta Rodriguez
• Rooted in Pearls LLC
• Steven Austin Roth, MD
• William Scott Rowell, PAC
• Lindsey Ann Rowley, MD
• Victoria Ruvolo, PT, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Jesup, GA
• Providers in Jesup, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.