Daniel Paul Yates, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4432 Issued in ID

Practice address

465 Memorial Drive
Pocatello Family Dentistry
Pocatello, ID 83209-8088

Phone

(208) 282-6000

Fax

(208) 282-5834

NPI assigned

Aug 14, 2012

Last updated

Aug 14, 2012By the provider in NPPES

Sex

Male

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

Enrolled in ID

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Rigby Dental, Inc.

  • Dentist
  • Rigby, ID
  • NPI 1124465059
  NPD (past) Authorized official

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1972850444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ISU - IAGD",
            "address_2": "CAMPUS BOX 8088",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832098088",
            "telephone_number": "208-282-6000",
            "fax_number": "208-282-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 MEMORIAL DRIVE",
            "address_2": "POCATELLO FAMILY DENTISTRY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832098088",
            "telephone_number": "208-282-6000",
            "fax_number": "208-282-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Jane Wuthrich, LMSW
• Aspin B Wyma, DC
• Drew Wyman
• Kolleen Marie Wynn-Gallipeau, CERTIFIED PEER SUPP
• Hao Yan
• Leathie Yeaman, APRN CNP
• Maria Yeash, D.M.D.
• Shirley Yellowhair, CST
• Yellowstone Dental Associates, PLLC
• Natalie Yoho

• General Practice Dentistry in Pocatello, ID
• Providers in Pocatello, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.

Verify at the official NPI Registry.