Active NPI
Pedram Yaghmai, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Lansdowne, VA
National Provider Identifier
1023340189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0401412408
- Practice address
- 19440 Golf Vista PLZ
Lansdowne, VA 20176-8263 - Phone
- (703) 858-5990
- NPI assigned
- Jan 31, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0401412408 | VA | Primary |
Addresses
Primary practice location
19440 Golf Vista PLZ
Lansdowne, VA 20176-8263
Mailing address
146 Villa Dr
Pittsburgh, PA 15214-1468
Phone (412) 867-1678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150716003333 | VA | Order and Referring Only - Oral Surgery | 3678886892 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412408 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264896000000",
"number": "1023340189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 VILLA DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152141468",
"telephone_number": "412-867-1678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19440 GOLF VISTA PLZ",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201768263",
"telephone_number": "703-858-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGHMAI",
"first_name": "PEDRAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-31",
"last_updated": "2010-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0401412408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansdowne, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.