Behnaz Yalda, DMD MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11363 Issued in MD

Practice address

77 Thomas Johnson Dr
Suite D
Frederick, MD 21702

Phone

(301) 698-5998

Fax

(301) 698-5930

NPI assigned

Sep 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Behnaz Yalda Inc

  • Periodontics
  • Frederick, MD
  • NPI 1588760607
  NPD (past) Authorized official
• Maryland Dental Affiliates, P.C.

  dba Frederick Perio & Implants

  • General Practice Dentistry
  • Frederick, MD
  • NPI 1962199240
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477659571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR",
            "address_2": "SUITE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-698-5998",
            "fax_number": "301-698-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR",
            "address_2": "SUITE D",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-698-5998",
            "fax_number": "301-698-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALDA",
        "first_name": "BEHNAZ",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "11363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changqing Xie, M.D.
• Guoping Xu, MD MS
• Ya Health Services LLC
• Ya Health Services LLC
• Ravi Yalamanchili, M.D.
• Weiming Ryan Yan, M.D.
• Samantha Lina Yancy, DDS
• Yenisey Yanes, DPM
• Dawei Yang, MD
• Grace Cuihong Yang, MD

• Periodontics in Frederick, MD
• Providers in Frederick, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.