Organization Active NPI

Neshat Yazdi DDS PA

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1588967459
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20052 Issued in TX
Legal business name
NESHAT YAZDI DDS PA
Practice address
915 N Shepherd Dr Ste D
Houston, TX 77008-6500
Phone
(713) 864-3993
Fax
(713) 426-2498
NPI assigned
Dec 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Mrs. Neshat Yazdi, DDA PANPI 1396886594
Title
Owner/ Treating Provider
Phone
(713) 864-3993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20052 TX Primary

Addresses

Primary practice location

915 N Shepherd Dr Ste D
Houston, TX 77008-6500

Mailing address

915 N Shepherd Dr Ste D
Houston, TX 77008-6500
Phone (713) 864-3993

Other identifiers 2

IdentifierTypeStateIssuer
007886702MedicaidTX
007886703MedicaidTX

National Provider Directory

National Provider Directory

Locations

915 N Shepherd Dr
Ste D
Houston, TX 77008
Phone (713) 864-3993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1588967459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N SHEPHERD DR STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086500",
            "telephone_number": "713-864-3993",
            "fax_number": "713-426-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N SHEPHERD DR STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086500",
            "telephone_number": "713-864-3993",
            "fax_number": "713-426-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESHAT YAZDI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "YAZDI",
        "authorized_official_first_name": "NESHAT",
        "authorized_official_title_or_position": "OWNER/ TREATING PROVIDER",
        "authorized_official_telephone_number": "713-864-3993",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDA PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007886702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007886703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.