Hamid Yazdi, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22093 Issued in TX

Practice address

9415 W State Highway 29
Georgetown, TX 78628-6914

Phone

(512) 930-4040

Fax

(512) 930-3070

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Liberty Hill Pediatric Dentistry, PA

  • Pediatric Dentistry
  • Georgetown, TX
  • NPI 1184909814
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1396835575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 W STATE HIGHWAY 29",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286914",
            "telephone_number": "512-930-4040",
            "fax_number": "512-930-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 W STATE HIGHWAY 29",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286914",
            "telephone_number": "512-930-4040",
            "fax_number": "512-930-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDI",
        "first_name": "HAMID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174364302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuko Yamamoto, D.C., L.AC.
• Rebecca Yang, DDS
• Jaclyn Yarbrough
• Courtney Shea-Rainer Yau, M.D.
• Omer Fatih Yavuz, MD
• Shawnteia M Yeargin
• Raeanne Yeh
• Andrea Yepes
• Toni Lynn Yerhes, LVN
• Brittanie Allison Yost, LPC

• Pediatric Dentistry in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.