Organization Active NPI

Yassamin Dorosti DDS LLC

  • Dental Clinic/Center
  • Zanesville, OH
National Provider Identifier
1659534428
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YASSAMIN DOROSTI DDS LLC
Practice address
2695 Maysville Ave
Zanesville, OH 43701
Phone
(740) 452-3697
Fax
(740) 452-9211
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Yassamin Dorosti, DDS
Title
Owner
Phone
(740) 452-3697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2695 Maysville Ave
Zanesville, OH 43701

Mailing address

2695 Maysville Ave
Zanesville, OH 43701
Phone (740) 452-3697

Other identifiers 1

IdentifierTypeStateIssuer
2682075MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1659534428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 MAYSVILLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-452-3697",
            "fax_number": "740-452-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 MAYSVILLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "43701",
            "telephone_number": "740-452-3697",
            "fax_number": "740-452-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASSAMIN DOROSTI DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "DOROSTI",
        "authorized_official_first_name": "YASSAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-452-3697",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2682075",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.