Active NPI
Yazan F Karadsheh, DDS
- Dentist
- Madison, OH
National Provider Identifier
1881972255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.024024
- Practice address
- 6248 North Ridge Road
Madison, OH 44057-4405 - Phone
- (440) 454-5436
- NPI assigned
- Aug 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.024024 | OH | Primary |
Addresses
Primary practice location
6248 North Ridge Road
Madison, OH 44057-4405
Mailing address
6248 North Ridge Road
Madison, OH 44057-3719
Phone (440) 454-5436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150724012311 | CA | Order and Referring Only - Dentist | 3779896329 | |
| I20160309003039 | OH | Order and Referring Only - Dentist | 3779896329 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024024 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above and Beyond Dental , LLC | Current | Accepting new patients | |
| Yazan F Karadsheh DDS LLC | Past | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Cleveland, OH
- NPI 1629771860
-
- General Practice Dentistry
- Madison, OH
- NPI 1982118584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679702400000",
"number": "1881972255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6248 NORTH RIDGE ROAD",
"city": "MADISON",
"state": "OH",
"postal_code": "440573719",
"telephone_number": "440-454-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6248 NORTH RIDGE ROAD",
"city": "MADISON",
"state": "OH",
"postal_code": "440574405",
"telephone_number": "440-454-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARADSHEH",
"first_name": "YAZAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-02",
"last_updated": "2023-03-25",
"certification_date": "2023-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.024024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.