Ali Y Yazback, D.M.D,

Primary specialty

DentistTaxonomy code 122300000X

License

DN21282 Issued in FL

Practice address

9350 S Dixie Hwy Ste 920
Miami, FL 33156-2996

Phone

(305) 670-5100

NPI assigned

Jun 22, 2015

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• A. Y. Yazback, DMD, PA

  • Dental Clinic/Center
  • Miami, FL
  • NPI 1346027604
  NPD Authorized official
• Center for Complete Dentistry of Pembroke Pines

  • Preferred Provider Organization
  • Pembroke Pines, FL
  • NPI 1497179725
  NPD (past)
• Station Park Dental

  • Dental Clinic/Center
  • Farmington, UT
  • NPI 1689159147
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1851773220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 S DIXIE HWY STE 920",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562996",
            "telephone_number": "305-670-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 S DIXIE HWY STE 920",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562996",
            "telephone_number": "305-670-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 W Park Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "UT",
            "postal_code": "840252994",
            "country_code": "US",
            "telephone_number": "801-919-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAZBACK",
        "first_name": "ALI",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.M.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "11755248-9921",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yava Addiction Services
• Yava Medical Office Inc
• Dileep Rajhavendra Yavagal, M.D.
• Sujata Yavagal, M.D.
• Yaz Aesthetic & Massage Services.Corp
• Hadi Yaziji, M.D.
• Maria Eugenia Yazji, DDS MS
• Yazoo City Health & Rehabilitation
• Daily Ybargollin, A.R.N.P.
• Glenda Lis Ybarra, PMHNP

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.