Axel Yabroudi, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D5215 Issued in AZ

Practice address

2979 W Elliot Rd Ste 3
Chandler, AZ 85224-1641

Phone

(480) 775-1300

Fax

(480) 775-1304

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Valley Endodontics, P.a.

  • Endodontics
  • Phoenix, AZ
  • NPI 1659308641
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1699749978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 W ELLIOT RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241641",
            "telephone_number": "480-775-1300",
            "fax_number": "480-775-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 W ELLIOT RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241641",
            "telephone_number": "480-775-1300",
            "fax_number": "480-775-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABROUDI",
        "first_name": "AXEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D5215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569444",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Xavier, MD
• Lyndon C Xavier, MD
• Alice Xiao Arellano, FNP
• Kathleen Xu
• Yuchen Xu
• Krista Yaconetti, LMSW
• Bracha Yaeger
• Caitlin Yakubov, SLPA
• Takako Yamada, DNP, FNP-C
• Chanda Yan

• Endodontics in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.