Yassaman Dorosti Bleiweiss, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3021748 Issued in OH

Practice address

2695 Maysville Pike
Zanesville, OH 43701-8575

Phone

(740) 452-3697

Fax

(740) 452-9211

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Yassamin Dorosti Professional name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1992890966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 MAYSVILLE PIKE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437018575",
            "telephone_number": "740-452-3697",
            "fax_number": "740-452-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 MAYSVILLE PIKE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437018575",
            "telephone_number": "740-452-3697",
            "fax_number": "740-452-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEIWEISS",
        "first_name": "YASSAMAN",
        "middle_name": "DOROSTI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "3021748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YASSAMIN",
            "last_name": "DOROSTI",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brenda G Blake, LPCC
• Megan M Blake, MSW,LSW
• Whitney Blake
• Makenna Blatt, RN
• Tiffany Lynne Blaz, RN, MSN, FNP-C
• Mersadies Ann Blessard
• David Blissenbach, M.D.
• Ross Calvin Bloomberg, M.D.
• Marla Kay Blum, INDEPENT PROVIDER
• Shantel Elise Bocook

• General Practice Dentistry in Zanesville, OH
• Providers in Zanesville, 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 May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.