Active NPI
Yeganegi Endodontics PLLC
- Endodontics
- North Syracuse, NY
National Provider Identifier
1659962843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- YEGANEGI ENDODONTICS PLLC
- Practice address
- 3903 Brewerton Rd
North Syracuse, NY 13212-3704 - Phone
- (315) 999-3636
- Fax
- (315) 999-1312
- NPI assigned
- Jan 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kiarash Yeganegi, DDS, MSD
- Title
- Owner Endodontist
- Phone
- (315) 999-3636
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
3903 Brewerton Rd
North Syracuse, NY 13212-3704
Mailing address
3903 Brewerton Rd
North Syracuse, NY 13212-3704
Phone (315) 999-3636
Other names 1
- Empire Endodontics
National Provider Directory
National Provider DirectoryLocations
3903 Brewerton Rd
North Syracuse, NY 13212
Phone (315) 458-4794
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endodontics
- North Syracuse, NY
- NPI 1255866836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611878400000",
"number": "1659962843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 BREWERTON RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132123704",
"telephone_number": "315-999-3636",
"fax_number": "315-999-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 BREWERTON RD",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132123704",
"telephone_number": "315-999-3636",
"fax_number": "315-999-1312"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YEGANEGI ENDODONTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A",
"authorized_official_last_name": "YEGANEGI",
"authorized_official_first_name": "KIARASH",
"authorized_official_title_or_position": "OWNER ENDODONTIST",
"authorized_official_telephone_number": "315-999-3636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MSD"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Empire Endodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.