Individual provider Active NPI

Laith Yousif, D.D.S.

  • Dentist
  • Bonita Springs, FL
National Provider Identifier
1649163452
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN30296 Issued in FL
Practice address
10911 Bonita Beach Rd SE Ste 105
Bonita Springs, FL 34135-9053
Phone
(239) 495-9900
NPI assigned
May 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN30296 FL Primary

Addresses

Primary practice location

10911 Bonita Beach Rd SE Ste 105
Bonita Springs, FL 34135-9053

Mailing address

150 Turtle Lake CT Apt 103
Naples, FL 34105-2308

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
DN30296FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fady Fakhoury PA Dentist PastSince Jun 3, 2025 Accepting new patients

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": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1649163452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TURTLE LAKE CT APT 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341052308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10911 BONITA BEACH RD SE STE 105",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341359053",
            "telephone_number": "239-495-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSIF",
        "first_name": "LAITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN30296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.