Organization Active NPI

Yepes DDS LLC

  • Pediatric Dentistry
  • Fishers, IN
National Provider Identifier
1962173575
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
YEPES DDS LLC
Practice address
13760 Lakeridge Dr
Fishers, IN 46037-7608
Phone
(317) 597-0184
Fax
(317) 932-5978
NPI assigned
Sep 23, 2021
Last updated
Sep 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Authorized official

Name
Alondra Camacho
Title
Administrative Assistant
Phone
(317) 597-0184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

13760 Lakeridge Dr
Fishers, IN 46037-7608

Mailing address

13760 Lakeridge Dr
Fishers, IN 46037-7608
Phone (317) 597-0184

National Provider Directory

National Provider Directory

Locations

13760 Lakeridge Dr
Fishers, IN 46037
Phone (317) 588-2575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632355200000",
    "number": "1962173575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13760 LAKERIDGE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377608",
            "telephone_number": "317-597-0184",
            "fax_number": "317-932-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13760 LAKERIDGE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377608",
            "telephone_number": "317-597-0184",
            "fax_number": "317-932-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEPES DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "ALONDRA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "317-597-0184"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.