Individual provider Active NPI

Katayoun Yaraghi-Josephs, DDS MPH

  • Dentist
  • New York, NY
National Provider Identifier
1962566596
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
052284-1 Issued in NY
Practice address
719 W 181St St
New York, NY 10033-4731
Phone
(646) 244-9365
Fax
(201) 652-3333
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22D102322600 NJ
Dentist 122300000X 052284-1 NY Primary

Addresses

Primary practice location

719 W 181St St
New York, NY 10033-4731

Mailing address

719 W 181St St
New York, NY 10033-4731
Phone (646) 244-9365

Other identifiers 1

IdentifierTypeStateIssuer
02901513MedicaidNY

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
22D102322600NJMDGeneral Practice Dentistry
052284-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascada Dental PC Dentist Past Accepting new patients

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1962566596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334731",
            "telephone_number": "646-244-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334731",
            "telephone_number": "646-244-9365",
            "fax_number": "201-652-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARAGHI-JOSEPHS",
        "first_name": "KATAYOUN",
        "name_prefix": "Dr.",
        "credential": "DDS MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102322600",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "052284-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02901513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.