Organization Active NPI

Yaghi Smile

  • Dental Clinic/Center
  • Staten Island, NY
National Provider Identifier
1053178186
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YAGHI SMILE
Practice address
900 South Ave Ste 301
Staten Island, NY 10314-3426
Phone
(347) 489-0909
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Mohamad Yaghi, DDS
Title
General Dentist
Phone
(347) 570-5857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

900 South Ave Ste 301
Staten Island, NY 10314-3426

Mailing address

1137 Olympia Blvd
Staten Island, NY 10306-5923

Other names 1

  • YAGHI SMILE Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1053178186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 OLYMPIA BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTH AVE STE 301",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143426",
            "telephone_number": "347-489-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAGHI SMILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "YAGHI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "347-570-5857",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YAGHI SMILE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.