Individual provider Active NPI

Saad Youssif, DDS

  • Dentist
  • Forney, TX
National Provider Identifier
1801413695
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14373 Issued in MN
Practice address
101 N Farm to Market 548
Ste 105
Forney, TX 75126
Phone
(972) 552-1224
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 37094 TX
Dentist 122300000X D14373 MN Primary

Addresses

Primary practice location

101 N Farm to Market 548
Ste 105
Forney, TX 75126

Mailing address

101 N FM 548 Ste 105
Forney, TX 75126-5686
Phone (972) 552-1224

Other practice location 1

1384 109th Ave NE Ste 200
Blaine, MN 55434-4543
Phone (763) 757-6000

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

LicenseStateTypeSpecialty
D14373MNMDDentist
37094TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Forney Modern Dentistry and Orthodontics PastSince Sep 12, 2021 Accepting new patients
Blaine Dentistry, PC PastSince Jul 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1801413695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N FM 548 STE 105",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265686",
            "telephone_number": "972-552-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N FARM TO MARKET 548",
            "address_2": "STE 105",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "972-552-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1384 109th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554344543",
            "country_code": "US",
            "telephone_number": "763-757-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUSSIF",
        "first_name": "SAAD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-09-10",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37094",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.