Taira Yusufova, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

019033679 Issued in IL

Practice address

7170 Caton Farm Rd Ste P
Plainfield, IL 60586-1695

Phone

(815) 782-2299

NPI assigned

Jun 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1154051332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 CATON FARM RD STE P",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605861695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 CATON FARM RD STE P",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605861695",
            "telephone_number": "815-782-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSUFOVA",
        "first_name": "TAIRA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019033679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaden, Inc.
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• Jennifer Yoon
• Justin Christopher Young
• Nicholas Young, MS
• Susan Florence Zacharias, LCPC, NCC
• Angela Zak, APN
• Isis Zaki
• Shivanginiba Zala, DMD
• Nicole Lynn Zavala, APRN

• Dentist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.