JOHN RUSSELL YANCEY


Address: 11001 W 120th Ave Ste 400, Broomfield, CO 80021-3493
Phone: 3174590738

JOHN RUSSELL YANCEY (NPI# 1255622635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255622635
Entity Type Individual
Full Name JOHN RUSSELL YANCEY
Credential DDS
Practice Address 11001 W 120th Ave Ste 400
Broomfield
CO 80021-3493
Mailing Address 13403 Alpine Cove Dr
Alpine
UT 84004-1801
Practice Telephone 3174590738
Mailing Telephone 3174590738
Enumeration Date 2011-04-20
Last Update Date 2019-07-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 8020326-9924 UT Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
8020326-9921 UT Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care
Y 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
DEN.00203857 CO Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6037 Mazeno Peak St, North Las Vegas, NV 890316850 3174590738

Other Providers JOHN YANCEY

NPI Name Taxonomy Address Enumeration
1235143934 John M Yancey Dentist 1033 S Oak St, West Chicago, IL 60185-3836 2006-07-28

Office Location

Street Address 11001 W 120TH AVE STE 400
City BROOMFIELD
State CO
Zip Code 80021-3493

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528689437 Aiding Therapy Services Pllc Clinic/Center 11001 W 120th Ave Ste 400, Broomfield, CO 80021-3493 2020-05-01
1417582495 Inclusion Behavioral Health LLC Behavioral Analyst 11001 W 120th Ave Ste 400, Broomfield, CO 80021-3493 2020-03-10
1013548064 Elevate Medical Supply LLC Durable Medical Equipment & Medical Supplies 11001 W 120th Ave Ste 400, Broomfield, CO 80021-3493 2020-01-29
1922642743 Mountain Dental Anesthesia LLC Dentist 11001 W 120th Ave Ste 400, Broomfield, CO 80021-3493 2019-11-05
1194129940 Amy Van Arsdale Psychologist 11001 W 120th Ave Ste 400, Broomfield, CO 80021 2014-10-21
1992056246 Amber W. Pearson Counselor 11001 W 120th Ave Ste 400, Broomfield, CO 80021-3493 2012-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851941934 Denver Restorative Dentistry Pllc Dentist 8181 Arista Place, Suite 140, Broomfield, CO 80021 2019-09-19
1205490398 Amber Kay Kisser Occupational Therapist 7770 W 101st Ave, Westminster, CO 80021 2019-04-24
1871093138 Samantha Ewing Audiologist 403 Summit Blvd., # 204, Broomfield, CO 80021 2018-02-13
1568978914 Denver Recovery Center, LLC Clinic/Center 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 2017-12-21
1730601477 Elaine H Kim Audiologist 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 2017-07-14
1245605575 Profound Fitness, LLC Day Training, Developmentally Disabled Services 7721 W 92nd Ave, Westminster, CO 80021 2015-12-11
1558785634 Nichelle Francavilla Gurule Chiropractor 11336 W 104th Ave, Westminster, CO 80021 2014-02-10
1255770244 Martha Ha Dentist 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 2013-06-23
1467737841 Nathaniel Weidner Pharmacist 10350 Dover St. D28, Westminster, CO 80021 2011-10-17
1346475209 Christine Marie Maren Family Medicine 8181 Arista Pl Unit 100, Broomfield, CO 80021 2009-05-21
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Taxonomy Information

Taxonomy Code 1223D0004X
Grouping Dental Providers
Classification Dentist
Specialization Dentist Anesthesiologist

Taxonomy Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457843799 Kristopher Mendoza Dentist 811 Brickyard Cir # A, Golden, CO 80403-8058 2018-06-02
1093222788 Sleepcare Dental LLC Dentist 5005 S Kipling Pkwy Ste A7-394, Littleton, CO 80127-7930 2018-01-04
1649785197 5280 Dentistry and Anesthesia Dentist 2422 Glenarm Pl, Denver, CO 80205-3129 2017-12-06
1326494451 Fort Collins Kids Dentistry Dentist 313 Wood St, Fort Collins, CO 80521-1954 2016-05-07
1114307899 Denver Anesthesia Dentistry Dentist 5420 Lakeshore Dr, Littleton, CO 80123 2015-06-08
1871831594 Nishant Chauhan Dentist 5005 S Kipling Pkwy, Ste A7-394, Littleton, CO 80127-7930 2013-01-31
1689935975 Bradley W Green Dentist 1745 Shea Center Dr Fl 4, Highlands Ranch, CO 80129-1537 2012-06-03
1942868690 Rocky Mountain Dental Anesthesia Dentist 811 Brickyard Cir, Golden, CO 80403-8058 2019-05-29
1609250810 San Juan Dental Anesthesia Services, Professional LLC Dentist 835 E 2nd Ave, Suite 270, Durango, CO 81301-5475 2015-07-17
1285070938 Philip M. Yen Dentist 8301 E Prentice Ave Ste 215, Greenwood Village, CO 80111-2990 2013-05-21
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Competitor

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City BROOMFIELD
Zip Code 80021

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Dataset Information

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.

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