Yazan F Karadsheh DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.024024 Issued in OH

Legal business name

YAZAN F KARADSHEH DDS LLC

Practice address

6248 N Ridge Rd
Madison, OH 44057-2567

Phone

(440) 428-1011

NPI assigned

Nov 20, 2017

Organization subpart

No

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

Authorized official

Name

Yazan Karadsheh, DDSNPI 1881972255

Title

Owner/Operator

Phone

(440) 454-5436

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Madison Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yazan F Karadsheh, DDS

  • Dentist
  • Madison, OH
  • NPI 1881972255
  NPD (past) Authorized official
• Gerald Daniel Zgodinski, DDS

  • Dentist
  • Madison, OH
  • NPI 1184632010
  NPD (past)

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679702400000",
    "number": "1982118584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6248 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572567",
            "telephone_number": "440-428-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6248 N RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572567",
            "telephone_number": "440-428-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAZAN F KARADSHEH DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2023-03-25",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "KARADSHEH",
        "authorized_official_first_name": "YAZAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "440-454-5436",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "30.024024",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Ann Waterman, RN
• Wellstreet of Georgia PC
• Kristen Whitney
• Tina Marie Wilcox
• Christene Woodley
• Ryan Zaidinski, OD
• Kathleen Ann Zalar
• Gerald Daniel Zgodinski, DDS
• Dolores Ann Zrenchak, RPH

• General Practice Dentistry in Madison, OH
• Providers in Madison, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.