Javid Yavari, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN011424 Issued in GA

Practice address

3294 Medlock Bridge Rd
Norcross, GA 30092-3082

Phone

(770) 448-8882

Fax

(770) 446-5511

NPI assigned

Jun 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 9, 2015 through Dec 9, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cumming Dental Associates

  • General Practice Dentistry
  • Cumming, GA
  • NPI 1255464384

  Orthodontics and Dentofacial Orthopedics

  NPD (past)
• Pickron Orthodontic Care

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Norcross, GA
  • NPI 1407962269
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710927165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 ABBEY CT.",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300923082",
            "telephone_number": "770-664-1999",
            "fax_number": "770-664-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3294 MEDLOCK BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923082",
            "telephone_number": "770-448-8882",
            "fax_number": "770-446-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAVARI",
        "first_name": "JAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN011424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne D. Wyatt, L.C.S.W.
• Y. H. Parikh & Associates
• Priyanka Singh Yadav, D.D.S.
• Kyonghwan Yang
• Behnam Yavari, DMD
• Emma Yeager
• Kelsey M Yette, RBT
• Barnabas Yoo
• Young Yoo, D.C.
• Stephanie D York, FNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.