Masis Yeterian Jr., D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

009390 Issued in CT

Practice address

211 E Putnam Ave
Suite 7
Cos Cob, CT 06807-2734

Phone

(203) 869-2884

Fax

(203) 618-1213

NPI assigned

Jun 3, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1265668362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E PUTNAM AVE",
            "address_2": "SUITE 7",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072734",
            "telephone_number": "203-869-2884",
            "fax_number": "203-618-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E PUTNAM AVE",
            "address_2": "SUITE 7",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072734",
            "telephone_number": "203-869-2884",
            "fax_number": "203-618-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YETERIAN",
        "first_name": "MASIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009390",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Michael Wilkowski, RPT, OCS
• Monique Williams
• Ellen N Wolfson, M.D.
• Garrick Fredrick Wong, D.M.D., M.M.S.
• Mary Elizabeth Woods, RPT, OCS, CSCS
• William Yogan
• Charles M Zatzkin, D.D.S.
• Joyanna Zdrojowy, PT

• General Practice Dentistry in Cos Cob, CT
• Providers in Cos Cob, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.