Active NPI
Roula Yazaji, DDS
- Dentist
- Pembroke Pines, FL
National Provider Identifier
1669995684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22896
- Practice address
- 13782 NW 19TH St
Pembroke Pines, FL 33028-2604 - Phone
- (309) 781-0327
- NPI assigned
- Jul 21, 2017
- Last updated
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN22896 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.