Active NPI
Mohammad M Yaghi, DDS
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1639231962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6897
- Practice address
- 8220 University Executive Park Drive
110
Charlotte, NC 28262 - Phone
- (704) 547-8783
- Fax
- (704) 510-2530
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6897 | NC | Primary |
Addresses
Primary practice location
8220 University Executive Park Drive
110
Charlotte, NC 28262
Mailing address
8220 University Executive Park Drive
110
Charlotte, NC 28262
Phone (704) 547-8783
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90063 | Other | NC | BLUE CROSS BLUE SHIELD OF |
| 7990063 | Medicaid | NC |
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 |
|---|---|---|---|
| 6897 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Yaghi DDS PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Huntersville, NC
- NPI 1104962869
-
- General Practice Dentistry
- Charlotte, NC
- NPI 1265579247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639231962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXECUTIVE PARK DRIVE",
"address_2": "110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28262",
"telephone_number": "704-547-8783",
"fax_number": "704-510-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8220 UNIVERSITY EXECUTIVE PARK DRIVE",
"address_2": "110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28262",
"telephone_number": "704-547-8783",
"fax_number": "704-510-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAGHI",
"first_name": "MOHAMMAD",
"middle_name": "M",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "90063",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7990063",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- 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.