Arthur Meer Yagudayev, DDS MDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

00202155 Issued in CO

Practice address

7555 E Hampden Ave Ste 305
Denver, CO 80231-4834

Phone

(720) 612-7068

NPI assigned

Jan 28, 2014

Last updated

Dec 15, 2021By the provider in NPPES

Sex

Male

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1194148163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9545 E CHENANGO AVE",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111325",
            "telephone_number": "347-570-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 E HAMPDEN AVE STE 305",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802314834",
            "telephone_number": "720-612-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGUDAYEV",
        "first_name": "ARTHUR",
        "middle_name": "MEER",
        "credential": "DDS MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "00202155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Denver, CO
• Providers in Denver, CO by specialty
• Periodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.