Minahil Yazdanie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39430 Issued in TX

Practice address

1620 FM 646 Rd W Ste D
Dickinson, TX 77539-4580

Phone

(281) 332-0980

NPI assigned

Dec 1, 2018

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)

Enrolled

State licenses

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

{
    "created_epoch": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1437629540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 LADDINGFORD LN",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 FM 646 RD W STE D",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394580",
            "telephone_number": "281-332-0980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40961 Grimmer Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945382846",
            "country_code": "US",
            "telephone_number": "510-226-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZDANIE",
        "first_name": "MINAHIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-01",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39430",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montoya Wilturner
• Timothy A Windham, DDS
• Claudine Latoya Witter, NP
• Women Specialists of Mainland, PLLC
• Johneisha Cherise Wooden, LPC
• Yellowstone Dental PLLC
• Georgina Young, M.D.
• Jeffrey Joe Young
• Your Healthcare on Wheels, P.C.
• Rosemary A Yovonoo, PHARMD

• General Practice Dentistry in Dickinson, TX
• Providers in Dickinson, 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 Jul 12, 2023; 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.