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JEEVAKA YAPA DDS NPI 1013957281


NPI Information

NPI: 1013957281
Provider Name: JEEVAKA YAPA, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
30555 GREENFIELD RD
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 262-9100
Get Directions

Jeevaka Yapa, DDS is an oral and maxillofacial surgery dentist in Southfield, MI with 33 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Jeevaka Yapa, DDS NPI is 1013957281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY
Graduation Year:1991

The provider's business location address is:

30555 GREENFIELD RD
SOUTHFIELD, MI
ZIP 48076-594
Phone: (248) 262-9100
Fax: (248) 262-9104

The NPI 1013957281 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 10/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0106XDentistOral and Maxillofacial Pathology2901016026MICHIGANNo
21223S0112XDentistOral and Maxillofacial Surgery16026MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12901016026OTHERMICHIGANSTATE LICENSE
21457523755OTHERMICHIGANGROUP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.