Individual provider Active NPI

Regina Yunusov, DDS

  • Dentist
  • Cedar Park, TX
National Provider Identifier
1881252237
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35060 Issued in TX
Practice address
251 N Bell Blvd Ste 106
Cedar Park, TX 78613-2936
Phone
(512) 640-8240
Fax
(512) 640-8258
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35060 TX
Dentist 122300000X 35060 TX Primary

Addresses

Primary practice location

251 N Bell Blvd Ste 106
Cedar Park, TX 78613-2936

Mailing address

251 N Bell Blvd Ste 106
Cedar Park, TX 78613-2936
Phone (512) 640-8240

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
35060TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regina Yunusov DDS, PLLC General Practice CurrentSince Jun 15, 2021 Accepting new patients

Locations

251 N Bell Blvd
Ste 106
Cedar Park, TX 78613
Phone (512) 640-8240

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1881252237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N BELL BLVD STE 106",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132936",
            "telephone_number": "512-640-8240",
            "fax_number": "512-640-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N BELL BLVD STE 106",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132936",
            "telephone_number": "512-640-8240",
            "fax_number": "512-640-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNUSOV",
        "first_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35060",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

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