Individual provider Active NPI

Roula Yazaji, DDS

  • Dentist
  • Pembroke Pines, FL
National Provider Identifier
1669995684
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22896 Issued in FL
Practice address
13782 NW 19TH St
Pembroke Pines, FL 33028-2604
Phone
(309) 781-0327
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22896 FL Primary
General Practice Dentistry 1223G0001X DN22896 FL

Addresses

Primary practice location

13782 NW 19TH St
Pembroke Pines, FL 33028-2604

Mailing address

9840 Sheridan St Apt 307
Pembroke Pines, FL 33024-3062
Phone (309) 781-0327

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
DN22896FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roula Yazaji DDS, PA Dentist Current 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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1669995684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9840 SHERIDAN ST APT 307",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243062",
            "telephone_number": "309-781-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13782 NW 19TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282604",
            "telephone_number": "309-781-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZAJI",
        "first_name": "ROULA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22896",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

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