Jenin Yahya, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

0401415015 Issued in VA

Practice address

650 W Baltimore St
Baltimore, MD 21201-1510

Phone

(410) 706-7952

NPI assigned

Aug 6, 2015

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": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1346626835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12743 FAIR BRIAR LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333850",
            "telephone_number": "703-625-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-706-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHYA",
        "first_name": "JENIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "VA",
            "license": "0401415015",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pankaj Yadav, MD
• Prashant Yadav
• Sridhara Sastry Yaddanapudi, M.D
• Mary Elizabeth Yaden
• Eleeshabah Yahudah-Yisrael, LGSW
• Tahir Yahya, M.D.
• Noushin Yahyavi Firouz Abadi, M.D.
• Joanna Yala
• Shashi Kiran Yalamanchili
• Georgia C Yalanis

• Prosthodontics in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Prosthodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.