Organization Active NPI

M Yaghi DDS

  • General Practice Dentistry
  • Huntersville, NC
National Provider Identifier
1104962869
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
M YAGHI DDS
Practice address
16511 Northcross Dr Ste F
Huntersville, NC 28078-5021
Phone
(704) 439-3601
Fax
(704) 987-9669
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mohammad M Yaghi, DDS
Title
Dentist
Phone
(704) 547-8783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

16511 Northcross Dr Ste F
Huntersville, NC 28078-5021

Mailing address

16511 Northcross Dr Ste F
Huntersville, NC 28078-5021
Phone (704) 439-3601

Other identifiers 1

IdentifierTypeStateIssuer
5901218MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
M Yaghi DDS PA4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104962869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16511 NORTHCROSS DR STE F",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785021",
            "telephone_number": "704-439-3601",
            "fax_number": "704-987-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16511 NORTHCROSS DR STE F",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785021",
            "telephone_number": "704-439-3601",
            "fax_number": "704-987-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M YAGHI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAGHI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-547-8783",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901218",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.