=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790427524
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MEGAN KRISTINE YARKIE DDS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/12/2022
-----------------------------------------------------
Last Update Date | 02/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9311 N MERIDIAN ST STE 200
-----------------------------------------------------
City | INDIANAPOLIS
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46260-1865
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-846-6107
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2859 PAPERBARK CREEK DR
-----------------------------------------------------
City | WESTFIELD
-----------------------------------------------------
State | IN
-----------------------------------------------------
Zip | 46074-7688
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-501-0055
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223X0400X
-----------------------------------------------------
Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
License Number | DN26643
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223X0400X
-----------------------------------------------------
Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
-----------------------------------------------------
License Number | 12013538A
-----------------------------------------------------
License Number State | IN
-----------------------------------------------------