Active NPI
Yash Mehta, D.M.D
- General Practice Dentistry
- Jessup, MD
National Provider Identifier
1154635787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14634
- Practice address
- 8150 Washington Blvd Ste 113a
Jessup, MD 20794-8815 - Phone
- (240) 678-9342
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14634 | MD | Primary |
Addresses
Primary practice location
8150 Washington Blvd Ste 113a
Jessup, MD 20794-8815
Mailing address
11039 Birchtree Lane
Laurel, MD 20723
Phone (240) 678-9342
Other practice location 1
1900 N Broadway
102 Kool Smiles
Baltimore, MD 21213
Phone (925) 807-5241
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14634 | MD | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154635787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11039 BIRCHTREE LANE",
"city": "LAUREL",
"state": "MD",
"postal_code": "20723",
"telephone_number": "240-678-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8150 WASHINGTON BLVD STE 113A",
"city": "JESSUP",
"state": "MD",
"postal_code": "207948815",
"telephone_number": "240-678-9342"
}
],
"practiceLocations": [
{
"address_1": "1900 N BROADWAY",
"address_2": "102 KOOL SMILES",
"address_purpose": "LOCATION",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21213",
"country_code": "US",
"telephone_number": "925-807-5241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "YASH",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "14634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jessup, MD
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.