Active NPI
Colleen Elizabeth Yazgi, DMD
- Dentist
- Dorchester, MA
National Provider Identifier
1497285878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1857653
- Practice address
- 97 Neponset Ave
Dorchester, MA 02122-3322 - Phone
- (617) 265-6556
- NPI assigned
- Jun 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1857653 | MA | Primary |
Addresses
Primary practice location
97 Neponset Ave
Dorchester, MA 02122-3322
Mailing address
95 Waltham St Apt 5
Boston, MA 02118-3670
Phone (201) 970-8116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1857653 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497744000000",
"number": "1497285878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 WALTHAM ST APT 5",
"city": "BOSTON",
"state": "MA",
"postal_code": "021183670",
"telephone_number": "201-970-8116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 NEPONSET AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021223322",
"telephone_number": "617-265-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAZGI",
"first_name": "COLLEEN",
"middle_name": "ELIZABETH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-18",
"last_updated": "2017-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1857653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.