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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
6037 Mazeno Peak St, North Las Vegas, NV 890316850 | 3174590738 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235143934 | John M Yancey | Dentist | 1033 S Oak St, West Chicago, IL 60185-3836 | 2006-07-28 |
Street Address |
11001 W 120TH AVE STE 400 |
City | BROOMFIELD |
State | CO |
Zip Code | 80021-3493 |
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 |
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 |
Find all providers in zip 80021 |
Taxonomy Code | 1223D0004X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dentist Anesthesiologist |
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] |
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 |
Find all providers with the same taxonomy |
City | BROOMFIELD |
Zip Code | 80021 |
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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.