Individual provider Active NPI

Laith Jamal Yahya, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1134658784
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36018 Issued in TX
Practice address
9370 W Sam Houston Pkwy S Ste F
Houston, TX 77099-5229
Phone
(713) 352-7152
NPI assigned
Jun 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60762721 WA
General Practice Dentistry 1223G0001X 36018 TX Primary

Addresses

Primary practice location

9370 W Sam Houston Pkwy S Ste F
Houston, TX 77099-5229

Mailing address

9370 W Sam Houston Pkwy S Ste F
Houston, TX 77099-5229
Phone (713) 352-7152

Other practice location 1

6120 Capitol Blvd SE
Tumwater, WA 98501-5271
Phone (855) 433-6825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60762721WAMDGeneral Practice Dentistry
36018TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Dental Group, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134658784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 W SAM HOUSTON PKWY S STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770995229",
            "telephone_number": "713-352-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 W SAM HOUSTON PKWY S STE F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770995229",
            "telephone_number": "713-352-7152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6120 Capitol Blvd SE",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985015271",
            "country_code": "US",
            "telephone_number": "855-433-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAHYA",
        "first_name": "LAITH",
        "middle_name": "JAMAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60762721",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.