Yasser Jazairi

Primary specialty

DentistTaxonomy code 122300000X

License

29521 Issued in FL

Practice address

23036 State Road 54 Ste 403
Lutz, FL 33549-6968

Phone

(813) 909-1317

NPI assigned

Apr 11, 2022

Last updated

Feb 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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

• Coast Florida P.a.

  dba Coast Dental-Willow Bend

  • Dentist
  • Lutz, FL
  • NPI 1740856129
  NPD
• David Truong Dental, PLLC

  • General Practice Dentistry
  • Homosassa, FL
  • NPI 1265392559
  NPD
• Coast Florida P.a.

  • Dentist
  • Tampa, FL
  • NPI 1730287673
  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1477295426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23036 FL-54 SPC 403, LUTZ, FL 33549",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492601",
            "telephone_number": "813-909-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23036 STATE ROAD 54 STE 403",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496968",
            "telephone_number": "813-909-1317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4071 Lee Rd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441282173",
            "country_code": "US",
            "telephone_number": "216-727-0234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 S Suncoast Blvd",
            "address_purpose": "LOCATION",
            "city": "Homosassa",
            "state": "FL",
            "postal_code": "344482601",
            "country_code": "US",
            "telephone_number": "352-503-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAZAIRI",
        "first_name": "YASSER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "29521",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "RES.004439",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "29521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lutz, FL
• Providers in Lutz, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.