Yasser Mohammad Armanazi, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

30021622 Issued in OH

Practice address

9179 Mentor Ave
Siute # G
Mentor, OH 44060-6398

Phone

(440) 266-5437

Fax

(440) 974-6630

NPI assigned

Jan 24, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marmanazi37119@ehrdirect.uhhospitals.org

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.

• Mentor Pediatric Dentistry

  • Pediatric Dentistry
  • Mentor, OH
  • NPI 1952125734
  NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083769806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9179 MENTOR AVE",
            "address_2": "SIUTE # G",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606398",
            "telephone_number": "440-266-5437",
            "fax_number": "440-974-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9179 MENTOR AVE",
            "address_2": "SIUTE # G",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606398",
            "telephone_number": "440-266-5437",
            "fax_number": "440-974-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMANAZI",
        "first_name": "YASSER",
        "middle_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30021622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelynn Symone Anthony
• Michelle Anthony
• Michael Adel Antone, D.D.S.
• Karen Appell
• Dawn Marie Argie, LSW, LICDC
• Natalie A Armstrong-Kinsner
• Darleen Armstrong
• Geneve Lynn Armstrong
• Kelly A Armstrong, LPCC E.2001681
• Lexus M Arnold

• Pediatric Dentistry in Mentor, OH
• Providers in Mentor, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.