Individual provider Active NPI

Juan C Yabraian, MD

  • Specialist
  • Dallas, TX
National Provider Identifier
1952304545
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D7372 Issued in TX
Practice address
5920 Forest Park Rd
Ste 600
Dallas, TX 75235-6416
Phone
(214) 902-1440
Fax
(214) 902-1593
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D7372 TX Primary

Addresses

Primary practice location

5920 Forest Park Rd
Ste 600
Dallas, TX 75235-6416

Mailing address

PO Box 580
Addison, TX 75001-0580
Phone (972) 991-9950

Other identifiers 1

IdentifierTypeStateIssuer
034587801MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1952304545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750010580",
            "telephone_number": "972-991-9950",
            "fax_number": "972-991-9548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 FOREST PARK RD",
            "address_2": "STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356416",
            "telephone_number": "214-902-1440",
            "fax_number": "214-902-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABRAIAN",
        "first_name": "JUAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "D7372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034587801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.