Lisandra Yero, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26922 Issued in FL

Practice address

1913 N Clyde Morris Blvd Ste 130
Daytona Beach, FL 32117-5519

Phone

(386) 274-2021

NPI assigned

Jun 20, 2022

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1902537061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 NELSON AVE",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506734",
            "telephone_number": "407-205-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 N CLYDE MORRIS BLVD STE 130",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175519",
            "telephone_number": "386-274-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YERO",
        "first_name": "LISANDRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore E Yaeger IV, M.D.
• Mehran Yaghmaie, MD
• Itsuko Yamaguchi, M.S., ATC, LAT
• Joseph Fayez Yanni, AGACNP-BC
• Rachel Waesche Yarbrough, MD
• Brian K Yorkgitis, DO
• Amy Youman
• Ericka Joyce Young
• Heather Young, LCSW
• Michael Young, M.D.

• General Practice Dentistry in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.