Active NPI
Arman Jacob Yazdan, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Jamaica, NY
National Provider Identifier
1225413867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 1225413867
- Practice address
- 17836 Wexford Ter Apt 2E
Jamaica, NY 11432-3028 - Phone
- (718) 739-1300
- Fax
- (718) 739-0966
- NPI assigned
- Jul 24, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 1225413867 | NY | Primary |
Addresses
Primary practice location
17836 Wexford Ter Apt 2E
Jamaica, NY 11432-3028
Mailing address
17836 Wexford Ter Apt 2E
Jamaica, NY 11432-3028
Phone (718) 739-1300
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 |
|---|---|---|---|
| 1225413867 | NY | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens Blvd Oral Surgery | Current | Accepting new patients | |
| Dental Group of Manhattan PLLC | Current | Accepting new patients | |
| Anthony T.R. Green D.D.S.P.C. | Past | Accepting new patients |
Locations
344 3rd Ave
New York, NY 10010
Phone (212) 679-9690
Organizations & group practices 3
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
- NPI 1619765377
-
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
- NPI 1053109736
-
- Oral and Maxillofacial Surgery (Dentist)
- Jamaica, NY
- NPI 1235392283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692057600000",
"number": "1225413867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17836 WEXFORD TER APT 2E",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323028",
"telephone_number": "718-739-1300",
"fax_number": "718-739-0966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17836 WEXFORD TER APT 2E",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323028",
"telephone_number": "718-739-1300",
"fax_number": "718-739-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAZDAN",
"first_name": "ARMAN",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-24",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NY",
"license": "1225413867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.