Individual provider Active NPI

Yenisey Valdes Torres, DMD

  • Dentist
  • St Michaels, MD
National Provider Identifier
1972126761
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
LL865 Issued in MD
Practice address
933 S Talbot St Ste 4
St Michaels, MD 21663-2605
Phone
(410) 745-0200
Fax
(339) 161-0108
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X LL865 MD Primary

Addresses

Primary practice location

933 S Talbot St Ste 4
St Michaels, MD 21663-2605

Mailing address

933 S Talbot St Ste 4
St Michaels, MD 21663-2605
Phone (410) 745-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231105000068 MD Practitioner - DentistPractitioner - Sleep Medicine 2668894239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Oct 1, 2023 Accepting new patients
Choptank Community Health System Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

933 S Talbot St
Ste 4
St Michaels, MD 21663
Phone (410) 745-0200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1972126761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 S TALBOT ST STE 4",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "216632605",
            "telephone_number": "410-745-0200",
            "fax_number": "833-916-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S TALBOT ST STE 4",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "216632605",
            "telephone_number": "410-745-0200",
            "fax_number": "339-161-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES TORRES",
        "first_name": "YENISEY",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "LL865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Michaels, MD

Sources for this page

Verify at the official NPI Registry.