Active NPI
Yasaman Ravandoust, DDS MS
- Endodontics
- Leawood, KS
National Provider Identifier
1235558933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 60919
- Practice address
- 11409 Ash St
Suite a
Leawood, KS 66211-1872 - Phone
- (913) 491-5552
- Fax
- (913) 491-4668
- NPI assigned
- Apr 9, 2014
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 60919 | KS | Primary |
Addresses
Primary practice location
11409 Ash St
Suite a
Leawood, KS 66211-1872
Mailing address
11409 Ash St
Suite a
Leawood, KS 66211-1872
Phone (913) 491-5552
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60919 | KS | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Care | Endodontics | 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.
-
- Endodontics
- Oakland, CA
- NPI 1013308170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1235558933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11409 ASH ST",
"address_2": "SUITE A",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111872",
"telephone_number": "913-491-5552",
"fax_number": "913-491-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11409 ASH ST",
"address_2": "SUITE A",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111872",
"telephone_number": "913-491-5552",
"fax_number": "913-491-4668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVANDOUST",
"first_name": "YASAMAN",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KS",
"license": "60919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.