Active NPI
Nickoe Yadegari, DMD
- Dentist
- Plantation, FL
National Provider Identifier
1982596078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN30402
- Practice address
- 51 NW 100TH Ave
Plantation, FL 33324-7007 - Phone
- (954) 476-4535
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30402 | FL | Primary |
Addresses
Primary practice location
51 NW 100TH Ave
Plantation, FL 33324-7007
Mailing address
740 Beachwood LN
Plantation, FL 33317-1948
Phone (480) 695-2024
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN30402 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uttma S Dham , DMD PA | Dentist | Current | Accepting new patients |
Locations
51 NW 100th Ave
Plantation, FL 33324
Phone (954) 476-4535
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": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1982596078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 BEACHWOOD LN",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333171948",
"telephone_number": "480-695-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 NW 100TH AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333247007",
"telephone_number": "954-476-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADEGARI",
"first_name": "NICKOE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.