Individual provider Active NPI

Alexander Yadegari, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Coral Springs, FL
National Provider Identifier
1902117435
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN23096 Issued in FL
Practice address
5481 N University Dr Ste 102
Coral Springs, FL 33067-4643
Phone
(954) 603-7516
NPI assigned
Jun 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23096 FL
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN23096 FL Primary

Addresses

Primary practice location

5481 N University Dr Ste 102
Coral Springs, FL 33067-4643

Mailing address

5481 N University Dr Ste 102
Coral Springs, FL 33067-4643
Phone (954) 603-7516

Other practice location 1

12 Robin Rd
Apt 304
West Hartford, CT 06119-1227
Phone (860) 794-2590

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
DN23096FLMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Yadegari Orthodontics LLC Orthodontics and Dentofacial Orthopedics CurrentSince Oct 24, 2021 Accepting new patients

Locations

5481 N University Dr
Ste 102
Coral Springs, FL 33067
Phone (954) 575-5488

12741 Miramar Pkwy
Ste 203
Miramar, FL 33027
Phone (954) 236-5273

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902117435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5481 N UNIVERSITY DR STE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674643",
            "telephone_number": "954-603-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5481 N UNIVERSITY DR STE 102",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674643",
            "telephone_number": "954-603-7516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Robin Rd",
            "address_2": "Apt 304",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061191227",
            "country_code": "US",
            "telephone_number": "860-794-2590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADEGARI",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23096",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN23096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.