Individual provider Active NPI

Yammine Gabriel Yammine, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1609980309
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20575 Issued in TX
Practice address
1640 Fountain View Dr
Houston, TX 77057-2402
Phone
(713) 697-4000
Fax
(281) 715-2188
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20575 TX Primary
Dentist 122300000X 20575 TX

Addresses

Primary practice location

1640 Fountain View Dr
Houston, TX 77057-2402

Mailing address

1640 Fountain View Dr
Houston, TX 77057-2402
Phone (713) 697-4000

Other identifiers 1

IdentifierTypeStateIssuer
167801301MedicaidTX

Other names 1

  • Gabriel Yammine Other name

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

LicenseStateTypeSpecialty
20575TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
GD TX Artistic PLLC General Practice PastSince Oct 27, 2024 Accepting new patients
Artistic Dentistry, PC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1609980309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 FOUNTAIN VIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572402",
            "telephone_number": "713-697-4000",
            "fax_number": "281-715-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 FOUNTAIN VIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770572402",
            "telephone_number": "713-697-4000",
            "fax_number": "281-715-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMMINE",
        "first_name": "YAMMINE",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20575",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167801301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIEL",
            "last_name": "YAMMINE",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 10, 2015; 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.