Active NPI
Taina Prisma Yanez, DDS
- Dentist
- Aurora, IL
National Provider Identifier
1972859916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019029135
- Practice address
- 1780 N Farnsworth Ave
Aurora, IL 60505-1576 - Phone
- (630) 898-3610
- Fax
- (630) 585-9950
- NPI assigned
- Jul 27, 2012
- Sex
- Female
- 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 | 019029135 | IL | Primary |
Addresses
Primary practice location
1780 N Farnsworth Ave
Aurora, IL 60505-1576
Mailing address
1780 N Farnsworth Ave
Aurora, IL 60505-1576
Phone (630) 898-3610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029135 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1972859916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 N FARNSWORTH AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605051576",
"telephone_number": "630-898-3610",
"fax_number": "630-585-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 N FARNSWORTH AVE",
"city": "AURORA",
"state": "IL",
"postal_code": "605051576",
"telephone_number": "630-898-3610",
"fax_number": "630-585-9950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANEZ",
"first_name": "TAINA",
"middle_name": "PRISMA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019029135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.