MR. MARK PAUL YATES (NPI# 1194783886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194783886 |
| Entity Type | Individual |
| Full Name | MR. MARK PAUL YATES |
| Credential | DMD |
| Practice Address |
11100 W Michigan Ave Youngtown AZ 85363 |
| Mailing Address |
515 E Carefree Hwy Pmb 834 Phoenix AZ 85085 |
| Practice Telephone | 6239745629 |
| Mailing Telephone | 6234652231 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D6484 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871047969 | Mark Charles Yates Jr. | Pharmacist | 2125 Cloverdale Ave, Winston Salem, NC 27103-2506 | 2016-08-07 |
| 1497050223 | Mark Christopher Yates | Psychologist | 595 E Colorado Blvd, Suite 402, Pasadena, CA 91101-2039 | 2011-01-26 |
| 1568534584 | Mark R. Yates | Hospitalist | 888 S King St, Honolulu, HI 96813-3009 | 2006-11-14 |
| 1992724256 | Mark A Yates | Optometrist | 10701 W Bell Rd, Sun City, AZ 85351-1074 | 2006-07-18 |
| 1598702359 | Mark C Yates | Orthopaedic Surgery | 300 W Northwood St, Greensboro, NC 27401-1324 | 2006-06-01 |
| Street Address |
11100 W MICHIGAN AVE |
| City | YOUNGTOWN |
| State | AZ |
| Zip Code | 85363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659451771 | David M Mengel | Denturist | 11100 W Michigan Ave, Youngtown, AZ 85363-1017 | 2006-10-16 |
| 1861572919 | Youngtown Denture Clinic, Inc. | Dentist | 11100 W Michigan Ave, Youngtown, AZ 85363-1017 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495387 | Sage Counseling, Inc. | Community/Behavioral Health | 12600 N. 113th Ave., Building B, Suite 6, Phoenix, AZ 85363 | 2018-01-17 |
| 1770026361 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11521 W. Peoria Avenue, Youngtown, AZ 85363 | 2016-11-30 |
| 1760925358 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11523 W. Peoria Avenue, Youngtown, AZ 85363 | 2016-11-30 |
| 1043753635 | Lifestream Complete Senior Living, Inc. | Skilled Nursing Facility | 11527 W. Peoria Avenue, Suite 500, Youngtown, AZ 85363 | 2016-11-30 |
| 1992257539 | Allen Michael Moore | Pharmacist | 10727 W. Olive Ave., Youngtown, AZ 85363 | 2016-10-31 |
| 1295010007 | Laura Nichols | Dentist | 11132 California Ave, Youngtown, AZ 85363 | 2011-10-13 |
| 1154541324 | Phoenix Senior Living LLC | Alzheimer Center (Dementia Center) | 12322 N 13th Avenue, Youngtown, AZ 85363 | 2007-04-27 |
| 1265509319 | John E Cooper II | Dentist | 11126 West Wisconsin Avenue, Suite 1, Youngtown, AZ 85363 | 2006-11-30 |
| 1447646146 | Rajkumar Sugumaran Md Pllc | Internal Medicine | 11124 W California Ave, # G, Youngtown, AZ 85363 | 2015-04-09 |
| 1689853475 | Jacob L Duran | Student in an Organized Health Care Education/Training Program | 13226 N 113th Ave, Youngtown, AZ 85363-1026 | 2007-10-29 |
| Find all providers in zip 85363 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083186761 | David Anderson Pllc | Dentist | 11126 W Wisconsin Ave Ste 1, Youngtown, AZ 85363-1068 | 2018-12-19 |
| 1295010007 | Laura Nichols | Dentist | 11132 California Ave, Youngtown, AZ 85363 | 2011-10-13 |
| 1558420638 | Robert Wallace Clark Jr. | Dentist | 11169 W Alabama Ave, Youngtown, AZ 85363-1228 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456031 | Roger Ryan Roybal, Dds, Pllc | Dentist | 14300 N Northsight Blvd Ste 214, Scottsdale, AZ 85260-3677 | 2020-11-01 |
| 1851990444 | Shaveta Behl | Dentist | 320 E Mcdowell Rd Ste 221, Phoenix, AZ 85004-4516 | 2020-10-23 |
| 1083212575 | Rasha Adil Abduljabbar Al-kaabi | Dentist | 4750 E Union Hills Dr Apt 1076, Phoenix, AZ 85050-3366 | 2020-10-15 |
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1750998969 | Christie Jacques | Dentist | 7410 E Sutton Dr, Scottsdale, AZ 85260-3915 | 2020-09-30 |
| 1447865480 | Luke Michael Mangelsdorf | Dentist | 2249 Hualapai Mountain Rd Ste 1, Kingman, AZ 86401-8321 | 2020-09-15 |
| 1386258689 | Joshua Dutton | Dentist | 8325 W Happy Valley Rd Unit 100, Peoria, AZ 85383-4361 | 2020-09-03 |
| 1912510678 | Nicholas Ahn | Dentist | 1550 E Campbell Ave Apt 3028, Phoenix, AZ 85014-4271 | 2020-08-24 |
| 1992317143 | Justin S Dole | Dentist | 15125 N Scottsdale Rd Apt 303, Scottsdale, AZ 85254-3157 | 2020-08-19 |
| 1326659087 | Triple Eight Dental Group, Pllc | Dentist | 7910 W Thomas Rd Ste 118, Phoenix, AZ 85033-4830 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.