Yeganeh Rezaie, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN19415 Issued in FL

Practice address

3801 Hollywood Blvd
Suite 225
Hollywood, FL 33021-6758

Phone

(614) 906-0115

NPI assigned

Jun 28, 2011

Last updated

Aug 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Dental Associates PA

  • Dentist
  • Tamarac, FL
  • NPI 1750043139
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407628800000",
    "number": "1043506041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 HOLLYWOOD BLVD",
            "address_2": "SUITE 225",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216758",
            "telephone_number": "614-906-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 HOLLYWOOD BLVD",
            "address_2": "SUITE 225",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216758",
            "telephone_number": "614-906-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAIE",
        "first_name": "YEGANEH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2014-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene A Reyes, M.D.
• Yohanne Reyes
• Reyna Group Home Inc
• Barbara Reyna
• Diane Elizabeth Reynolds, L.M.T.
• Rezilir Health, LLC
• RH Keller, M.D., Dba Biodoron
• Monique Riad
• Ahmed Riaz, DO
• Risa Ribault

• Dentist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.