Organization Active NPI

Yucca Dental Center, P.C.

  • Dentist
  • Artesia, NM
National Provider Identifier
1972928067
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD3636 Issued in NM
Legal business name
YUCCA DENTAL CENTER, P.C.
Practice address
606 N 13TH St
Artesia, NM 88210-1165
Phone
(248) 930-9962
NPI assigned
Feb 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Dr. Marko Farion, D.D.S.
Title
Ceo
Phone
(248) 930-9962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DD3636 NM Primary

Addresses

Primary practice location

606 N 13TH St
Artesia, NM 88210-1165

Mailing address

606 N 13TH St
Artesia, NM 88210-1165

Other names 1

  • Yucca Dental Doing business as

National Provider Directory

National Provider Directory

Locations

606 N 13th St
Artesia, NM 88210
Phone (575) 748-1266

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1972928067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101165",
            "telephone_number": "248-930-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUCCA DENTAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "FARION",
        "authorized_official_first_name": "MARKO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-930-9962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yucca Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Artesia, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.