JEEVAKA YAPA DDS PC
NPI 1457523755
Clinic/Center - Oral and Maxillofacial Surgery in Southfield, MI

Active since March 26, 2008
30555 GREENFIELD RD, SOUTHFIELD, MI 48076(248) 262-9100(248) 262-9104 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jeevaka Yapa Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEEVAKA YAPA DDS PC (NPI 1457523755), doing business as New Center Oral & Maxillofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Southfield, Michigan and active in the NPI registry since March 2008. The organization lists Kanesha Canty, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1457523755
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameJEEVAKA YAPA DDS PC
Location Address30555 GREENFIELD RDSouthfield, MI 48076-1594
Mailing Address30555 Greenfield RdSouthfield, MI 48076-1594 · (248) 262-9100 · Fax (248) 262-9104
Fax(248) 262-9104
Organization SubpartNo
Authorized OfficialKanesha CantyOffice Manager · (248) 262-9100
Enumeration DateMarch 26, 2008
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1457523755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License✔ Licensed in MI · 16026
Definition
An oral and maxillofacial surgery clinic or center 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.
30555 GREENFIELD RD, Southfield, MI 48076

Other Names 1

Doing Business AsNew Center Oral & Maxillofacial Surgery

Other Identifiers 1

Medicaid12 3259450MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeevaka Yapa Dds Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jeevaka Yapa DDS PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Oral Surgery
NPI 1891326898
30555 GREENFIELD RD
Southfield, MI 48076
(248) 262-9100
✔ PECOSSame address
Maxillofacial Surgery
NPI 1013957281
30555 GREENFIELD RD
Southfield, MI 48076
(248) 262-9100
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeevaka Yapa Dds PC's NPI number?

The NPI number for Jeevaka Yapa Dds PC is 1457523755. It was assigned to this organization in the NPPES registry on March 26, 2008. The provider is doing business as New Center Oral & Maxillofacial Surgery.

Where is Jeevaka Yapa Dds PC located?

Jeevaka Yapa Dds PC is located at 30555 Greenfield Rd, Southfield, MI 48076. The listed phone number is (248) 262-9100.

What is Jeevaka Yapa Dds PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Is Jeevaka Yapa Dds PC enrolled in Medicare?

Yes. Jeevaka Yapa Dds PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeevaka Yapa Dds PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jeevaka Yapa Dds PC, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jeevaka Yapa Dds PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and DENCAP Dental Plans, Inc list Jeevaka Yapa Dds PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeevaka Yapa Dds PC was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.