Organization Active NPI

Advanced Dental Care

  • Dentist
  • Kenton, OH
National Provider Identifier
1356647374
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ADVANCED DENTAL CARE
Practice address
965 E Columbus St
Kenton, OH 43326-1650
Phone
(419) 675-2210
Fax
(419) 675-2216
NPI assigned
Feb 9, 2011
Last updated
Feb 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Dr. Neda Yazdani, DMD
Title
Owner
Phone
(419) 675-2210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

965 E Columbus St
Kenton, OH 43326-1650

Mailing address

965 E Columbus St
Kenton, OH 43326-1650
Phone (419) 675-2210

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1356647374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 E COLUMBUS ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261650",
            "telephone_number": "419-675-2210",
            "fax_number": "419-675-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E COLUMBUS ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261650",
            "telephone_number": "419-675-2210",
            "fax_number": "419-675-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "YAZDANI",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-675-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.