Active NPI
Maya Yassin
- Dentist
- Surprise, AZ
National Provider Identifier
1881582740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D012507
- Practice address
- 13869 W Bell Rd
Surprise, AZ 85374-2468 - Phone
- (623) 584-4015
- NPI assigned
- Jun 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D012507 | AZ | |
| Dentist | 122300000X | D012507 | AZ | Primary |
Addresses
Primary practice location
13869 W Bell Rd
Surprise, AZ 85374-2468
Mailing address
4239 E Coolbrook Ave
Phoenix, AZ 85032-9211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250924004425 | AZ | Order and Referring Only - Dentist | 0042715641 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D012507 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1881582740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4239 E COOLBROOK AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850329211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13869 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853742468",
"telephone_number": "623-584-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASSIN",
"first_name": "MAYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-27",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D012507",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D012507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.