Isaak Yelizar DDS PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

055732 Issued in NY

Legal business name

ISAAK YELIZAR DDS PLLC

Doing business as

SimpliBraces

Practice address

63109 Saunders St Ste Ba2
Rego Park, NY 11374-3100

Phone

(347) 674-7225

NPI assigned

Aug 15, 2018

Last updated

Aug 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Isaak Yelizar, DDS

Title

Orthodontist

Phone

(347) 674-7225

Specialties & licenses 1

Addresses

Other names 1

• SimpliBraces Doing business as

Locations

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1043790462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63109 SAUNDERS ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63109 SAUNDERS ST STE BA2",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743100",
            "telephone_number": "347-674-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAAK YELIZAR DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "YELIZAR",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "347-674-7225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "055732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SimpliBraces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.