Individual provider Active NPI

Elisabeth Yenidjeian

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Asheville, NC
National Provider Identifier
1477819803
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
12524 Issued in NC
Practice address
1378 Hendersonville Rd Ste F
Asheville, NC 28803-1900
Phone
(828) 348-7448
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057621 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 057621 NY
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 12524 NC Primary

Addresses

Primary practice location

1378 Hendersonville Rd Ste F
Asheville, NC 28803-1900

Mailing address

100 River Mill Dr Apt 309
Asheville, NC 28803-0345
Phone (845) 664-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221002822 NY Order and Referring Only - DentistPractitioner - Dentist 7012256837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057621NYMDDentist
12524NCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elisabeth Yenidjeian DMD PLLC Orthodontics and Dentofacial Orthopedics CurrentSince Dec 6, 2022 Accepting new patients

Locations

1378 Hendersonville Rd
Ste F
Asheville, NC 28803
Phone (828) 348-7448

Interoperability endpoints

  • Direct secure messaging: eyenidjeian1852161@nychhc.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1477819803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVER MILL DR APT 309",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288030345",
            "telephone_number": "845-664-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1378 HENDERSONVILLE RD STE F",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031900",
            "telephone_number": "828-348-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENIDJEIAN",
        "first_name": "ELISABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057621",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "057621",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "12524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.