Individual provider Active NPI

Youstina Sawiris, DDS

  • Dentist
  • Saint Paul, MN
National Provider Identifier
1215612262
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14926 Issued in MN
Practice address
895 7TH St E
Saint Paul, MN 55106-3871
Phone
(651) 602-7500
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D14926 MN Primary

Addresses

Primary practice location

895 7TH St E
Saint Paul, MN 55106-3871

Mailing address

403 5TH St SE
Minneapolis, MN 55414-1607
Phone (702) 601-9687

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

LicenseStateTypeSpecialty
D14926MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Community Health Services, Inc. Past Accepting new patients
West Side Community Health Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ysawiris733202@direct.ochin.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1215612262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 5TH ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554141607",
            "telephone_number": "702-601-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 7TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063871",
            "telephone_number": "651-602-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWIRIS",
        "first_name": "YOUSTINA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.