DR. JUAN F YEPES DDS MD MPH NPI 1265532451

NPI Information

NPI: 1265532451
Provider Name: DR. JUAN F YEPES, DDS, MD, MPH
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
705 RILEY HOSPITAL DR RM 4205
DEPARTMENT OF PEDIATRIC DENTISTRY
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 944-9601
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DR. Juan F Yepes, DDS, MD, MPH is a pediatric dentistry dentist in Indianapolis, IN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Juan F Yepes, DDS, MD, MPH NPI is 1265532451. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

705 RILEY HOSPITAL DR RM 4205
DEPARTMENT OF PEDIATRIC DENTISTRY
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-9601

The NPI 1265532451 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).

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/11/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	12012166A	INDIANA	No
2	1223X0008X	Dentist	Oral and Maxillofacial Radiology	8166	KENTUCKY	No
3	208D00000X	General Practice		FL034	KENTUCKY	No
4	1223P0221X	Dentist	Pediatric Dentistry	D12322	MINNESOTA	No
5	1223P0221X	Dentist	Pediatric Dentistry	057865	NEW YORK	No
6	1223P0221X	Dentist	Pediatric Dentistry	8166	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	60003191	MEDICAID	KENTUCKY
2	V03764	MEDICARE UPIN	KENTUCKY
3	0225411	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	INDIVIDUAL

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

NPI Synchronization or Removal

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