Amir Yavari, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1856651 Issued in MA

Practice address

21 Peace St
Providence, RI 02907

Phone

(310) 866-6687

NPI assigned

Jul 5, 2013

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 RI

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ayavari244646@direct.bostonchildrens.org
• Direct secure messaging: amir.yavari.p4@direct.bvchc.nextgenshare.com

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.

• Tri-County Community Action Agency

  • Federally Qualified Health Center (FQHC)
  • Johnston, RI
  • NPI 1396780086

  Single Specialty

  Medicare reassignment NPD
• Smile Land Dental Care, LLC

  • Pediatric Dentistry
  • Westborough, MA
  • NPI 1679163976
  NPD Authorized official
• Tri-County Community Action Agency

  • Federally Qualified Health Center (FQHC)
  • North Providence, RI
  • NPI 1912328600
  NPD

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1194165167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HARVARD AVE",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024466295",
            "telephone_number": "617-804-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEACE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02907",
            "telephone_number": "310-866-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVARI",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1856651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elif Yartasi Tik, MD
• James J Yashar, M.D
• Yvette E Yatchmink, MD
• Firas Yatim, MD
• Igor Yatskar, M.S., P.T.
• Desiree Ann Yeboah, MD
• Ajay Yechuri, MD
• Alexander Yelisavetskiy, PHARMD
• Julie Yelle, RN
• William Arthur Yelle, MD

• Pediatric Dentistry in Providence, RI
• Providers in Providence, RI by specialty
• Pediatric Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.