Active NPI
Yamile Evangelina Ayala Siderius, RDH
- Dental Hygienist
- Chandler, AZ
National Provider Identifier
1184931073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H006997
- Practice address
- 485 S Dobson Rd
Suite 204
Chandler, AZ 85224-5602 - Phone
- (480) 821-9022
- Fax
- (480) 821-9064
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H006997 | AZ | Primary |
Addresses
Primary practice location
485 S Dobson Rd
Suite 204
Chandler, AZ 85224-5602
Mailing address
485 South Dobson Road
Suite 204
Chandler, AZ 85224
Phone (480) 821-9022
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 |
|---|---|---|---|
| H006997 | AZ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Dental | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Chandler, AZ
- NPI 1326232943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1184931073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 SOUTH DOBSON ROAD",
"address_2": "SUITE 204",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "85224",
"telephone_number": "480-821-9022",
"fax_number": "480-821-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S DOBSON RD",
"address_2": "SUITE 204",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245602",
"telephone_number": "480-821-9022",
"fax_number": "480-821-9064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA SIDERIUS",
"first_name": "YAMILE",
"middle_name": "EVANGELINA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H006997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.