Maria Hadi Yeaton, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100537 Issued in CA

Practice address

10445 Laurel Canyon Blvd
Pacoima, CA 91331-3605

Phone

(818) 890-8070

NPI assigned

Aug 8, 2016

Last updated

Aug 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ghazaryan Professional Dental Corp.

  dba Abc Kids Dental Group

  • General Practice Dentistry
  • Sun Valley, CA
  • NPI 1245620095
  NPD (past)
• Nezhde Ghazaryan Dental Corp.

  • General Practice Dentistry
  • Pacoima, CA
  • NPI 1255497236
  NPD (past)

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1710431747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 MARCO DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102433",
            "telephone_number": "714-757-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10445 LAUREL CANYON BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313605",
            "telephone_number": "818-890-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATON",
        "first_name": "MARIA",
        "middle_name": "HADI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Margaret Wilson Jordan, PH.D., M.F.T., A.T.R
• Vernon Wolf Windell, MFT
• Barry Howard Wise, RPH
• Natalie Wong
• Jennie Wyatt-Coste, 071607
• Jenny L. Yoon, NP
• Mary Rochelle Yu
• William Yu
• Ivan Andres Zamudio
• Mallory Mitchell Zeller, CF-SLP

• Dentist in Pacoima, CA
• Providers in Pacoima, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.