Lara Mesrob Yeghiasarian, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS044849 Issued in PA

Practice address

7010 Morrison Ave BLDG 128
Dental Activity
Fort Benning, GA 31905-0102

Phone

(706) 544-4530

NPI assigned

Aug 24, 2007

Sex

Female

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1316130123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 MORRISON AVE BLDG 128",
            "address_2": "DENTAL ACTIVITY",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319050102",
            "telephone_number": "706-544-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 MORRISON AVE BLDG 128",
            "address_2": "DENTAL ACTIVITY",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319050102",
            "telephone_number": "706-544-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGHIASARIAN",
        "first_name": "LARA",
        "middle_name": "MESROB",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9528",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS044849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nicole Wolfe, PT, DPT
• Nicholas Wright, DDS
• Maria Angela, Chandra Wynn, FNP-C
• Daniel Lu Xu, MD
• Michael Joseph Yanoschik, MD
• Joanna Yim, DMD
• Beriah Yisrael, PT, DPT
• Your Path Teletherapy
• Ross I.S. Zbar, MD
• Jeffrey Zerfas, ATC

• Endodontics in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.