Yekta Mohammad Zadeh

Primary specialty

DentistTaxonomy code 122300000X

License

2901601881 Issued in MI

Practice address

9115 Telegraph Rd
Taylor, MI 48180-2365

Phone

(313) 908-1788

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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.

• Pro Dental Mi 1 PC

  dba Destiny Dental of Taylor

  • General Practice Dentistry
  • Taylor, MI
  • NPI 1780411058
  NPD
• D2 Dental of Michigan, P.C.

  • General Practice Dentistry
  • Taylor, MI
  • NPI 1588136667
  NPD (past)

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1861270753",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "4927 6TH STREET",
            "city": "WINDSOR",
            "state": "ON",
            "postal_code": "N9E 4X1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 TELEGRAPH RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481802365",
            "telephone_number": "313-908-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD ZADEH",
        "first_name": "YEKTA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lukisha Mingledoff, LLPC
• Soma Aqeel Mirza, RPH
• Sonia Mirza, FNP-BC
• Ijauh Mitchell
• Modern Psych and Wellness PLLC
• Nizamuddin Mohammad
• Marium Mohammed Iqbal, MD
• Sushruth Reddy Moku, DO
• Lori Monette Mollon, RN
• Andrea M Molnar, PHARMD

• Dentist in Taylor, MI
• Providers in Taylor, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.