Yadegari Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN23096 Issued in FL

Legal business name

YADEGARI ORTHODONTICS LLC

Practice address

12741 Miramar Pkwy Ste 203
Miramar, FL 33027-2905

Phone

(954) 236-5273

NPI assigned

Mar 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Alexander Vedad YadegariNPI 1902117435

Title

Ambr

Phone

(904) 521-7981

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Yadegari, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Coral Springs, FL
  • NPI 1902117435
  NPD Authorized official
• Luca Sfogliano, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Miramar, FL
  • NPI 1205471497
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634428800000",
    "number": "1164924494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY STE 203",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272905",
            "telephone_number": "954-236-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12741 MIRAMAR PKWY STE 203",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272905",
            "telephone_number": "954-236-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YADEGARI ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A",
        "authorized_official_last_name": "YADEGARI",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "VEDAD",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "904-521-7981",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN23096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700436",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Miramar, FL
• Providers in Miramar, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.