Manhal Yazji, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11753 Issued in FL

Practice address

910 SW Saint Lucie West Blvd
Port St Lucie, FL 34986-1766

Phone

(772) 785-9515

Fax

(772) 785-5308

NPI assigned

Jul 16, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Warren Yazji Associates DDS PA

  dba Regency Dental

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1538184148
  NPD (past) Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699792549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 SW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861766",
            "telephone_number": "772-785-9515",
            "fax_number": "772-785-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 SW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861766",
            "telephone_number": "772-785-9515",
            "fax_number": "772-785-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZJI",
        "first_name": "MANHAL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Akiye Yamamoto, D.O.
• Josee Yang, D.C.
• Yanique Duval MD PA (Duval Health Center)
• Yanique Duval MD PA (Duval Health Center)
• Medina Saida Yasin, RN
• Michael F Ybern
• Heather Yeckes-Rodin, M.D.
• Eric K Young, M.D.
• Brion Youngs, PT, DPT
• Your Personalized Care Services, LLC

• General Practice Dentistry in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.