DR. GURAM YAKOBASHVILI (NPI# 1720186745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720186745 |
| Entity Type | Individual |
| Full Name | DR. GURAM YAKOBASHVILI |
| Credential | DDS |
| Practice Address |
293 E 149th St Bronx NY 10451-5601 |
| Practice Telephone | 6464045005 |
| Practice Fax Number | 6464045006 |
| Mailing Telephone | 6464045005 |
| Mailing Fax Number | 6464045006 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2012-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0558311 | NY | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DI20280 | NJ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03395140 | 05 | |
| NJ | 8444706 | 05 |
| Street Address |
293 E 149TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10451-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548558836 | Glad Dental P.C. | Dentist | 293 E 149th St, Bronx, NY 10451-5601 | 2011-07-20 |
| 1780977926 | Lia Datikashvili | Dentist | 293 E 149th St, Bronx, NY 10451-5601 | 2011-05-20 |
| 1508184144 | Hari Kishan C Tammana | Physical Therapist | 293 E 149th St, Bronx, NY 10451-5601 | 2010-05-06 |
| 1821320300 | Stanislav Kaminsky | Physical Therapist | 293 E 149th St, Bronx, NY 10451-5601 | 2010-02-08 |
| 1407044423 | United Medicine & Rehabilitation, P.C. | Physical Medicine & Rehabilitation | 293 E 149th St, Bronx, NY 10451-5601 | 2007-10-04 |
| 1982892907 | Aleksandr Levin | Physical Medicine & Rehabilitation | 293 E 149th St, Bronx, NY 10451-5601 | 2007-10-04 |
| 1487841284 | Elizabeth Rose | Nurse Practitioner | 293 E 149th St, Bronx, NY 10451-5601 | 2007-09-26 |
| 1366635229 | Octo-dental PC | Dentist | 293 E 149th St, Bronx, NY 10451-5601 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221426 | Milena Boursiquot | Counselor | 240 Walton Ste 2n, Bronx, NY 10451 | 2020-10-08 |
| 1467065466 | Armghan Azhar Azhar Munir | Student in an Organized Health Care Education/Training Program | Lincoln Medical Center, 234 E149th St, New York City, NY 10451 | 2020-08-28 |
| 1013529486 | Ariane Tapang Yangco | Student in an Organized Health Care Education/Training Program | 234 East 149th St., Lincoln Medical and Mental Center, Internal Medicine De, New York, NY 10451 | 2020-08-18 |
| 1134730377 | Sherida N Edding | Student in an Organized Health Care Education/Training Program | 234 E 149th Street, Bronx, New York City, NY 10451 | 2020-08-12 |
| 1922617646 | Tian Fang Yu | Student in an Organized Health Care Education/Training Program | 234 E 149th St., The Bronx, NY 10451 | 2020-07-28 |
| 1659998037 | Amnah Khalid | Student in an Organized Health Care Education/Training Program | 234 East 149st, 820, Bronx, NY 10451 | 2020-07-01 |
| 1871116277 | Sebastian Andres Gandarillas Fraga | Student in an Organized Health Care Education/Training Program | 234 E. 149 Street, Suite 820, New York, NY 10451 | 2020-05-20 |
| 1285257642 | Javier Alejandro Castro Valenzuela | Student in an Organized Health Care Education/Training Program | 243 East 149th Street, Suite 4-20, The Bronx, NY 10451 | 2020-05-20 |
| 1992331482 | Montefiore Medical Center | Clinic/Center | 250 Thurman Munson Way #236, Bronx, NY 10451 | 2020-03-17 |
| 1235761958 | Kellie Gevon Mcfarlane | Psychologist | Lincoln Hospital, Child Adolescent Psychiatric Services, 234 East 149th Street, Floor 4a, Room 4-83, Bronx, NY 10451 | 2020-02-11 |
| Find all providers in zip 10451 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1568023331 | David A George | Dentist | 229 E 144th Street, Bronx, NY 10451 | 2019-06-24 |
| 1699268045 | Mariolys Tamayo | Dentist | 6299 Broadway Apt C11, Bronx, NY 10471-3177 | 2018-06-11 |
| 1316444664 | Sofia Kwak | Dentist | 805 Soundview Ave, Bronx, NY 10473-3900 | 2018-04-11 |
| 1033633466 | Bay Plaza Mall Dental Pllc | Dentist | 200 Baychester Ave Ste 311c, Bronx, NY 10475-4585 | 2017-07-27 |
| 1619401890 | Chantal Tavarez Monegro | Dentist | 1924 University Ave Apt 1b, Bronx, NY 10453-4413 | 2017-04-14 |
| 1770014011 | Aleksander Khasidov | Dentist | 1575 Blondell Ave Ste 150, Bronx, NY 10461-2661 | 2017-03-27 |
| 1710428594 | Riverdale Family Dentistry | Dentist | 3534 Riverdale Ave., Bronx, NY 10463 | 2017-03-14 |
| 1730559477 | Hospital | Dentist | 2466 Arthur Ave, Bronx, NY 10458-6004 | 2015-10-06 |
| 1629461678 | Mark Makiling | Dentist | 1911 21 Jerome Avenue, Bronx, NY 10453 | 2015-03-16 |
| Find all providers in BRONX | ||||
Please comment or provide details below to improve the information on DR. GURAM YAKOBASHVILI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.