Yasamin Yazhari, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27412 Issued in TX

Practice address

4858 South Fwy
Fort Worth, TX 76115-3901

Phone

(817) 927-5800

NPI assigned

Sep 14, 2011

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": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1386926400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26615 US HIGHWAY 380 E STE 130",
            "city": "PROVIDENCE VILLAGE",
            "state": "TX",
            "postal_code": "762273831",
            "telephone_number": "403-659-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 SOUTH FWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761153901",
            "telephone_number": "817-927-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZHARI",
        "first_name": "YASAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "27412",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Yarrish, RN
• Nicholas Yarrobino, PA-C
• Michael Khalafalla Bakhet Yassa
• Puja Yatham
• Justina Yaung
• Abby Caroline Ybarra
• Cristian Ybarra, MD
• Jodie Yblood, LMSW
• Jessica Yeager, DDS
• Lori A. Yeager, CRNA

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.