S. Hakimi, DDS a Professional Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

39643 Issued in CA

Legal business name

S. HAKIMI, DDS A PROFESSIONAL CORP

Doing business as

Stockton Dental Group

Practice address

1036 W Robinhood Dr Ste 104
Stockton, CA 95207-5622

Phone

(209) 956-9650

Fax

(209) 956-9655

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sohail Sean Hakimi, DDS

Title

Owner

Phone

(661) 255-3130

Specialties & licenses 1

Addresses

Other names 1

• STOCKTON DENTAL GROUP Doing business as

Tax ID family

Lake Murray Dental Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Lake Murray Dental Group

  • Dentist
  • La Mesa, CA
  • NPI 1629269998
  NPD tax ID
• Stockton Dental Group

  • Dentist
  • Stockton, CA
  • NPI 1356532626
  NPD tax ID

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1013160530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55368",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913850368",
            "telephone_number": "661-255-3130",
            "fax_number": "661-255-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 W ROBINHOOD DR STE 104",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075622",
            "telephone_number": "209-956-9650",
            "fax_number": "209-956-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. HAKIMI, DDS A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "HAKIMI",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-255-3130",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "39643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOCKTON DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Ryan
• Emma Rymel
• Irma Francisca Rymers, FNP
• S & T Luxury Sober Living
• S Jang DDS Incorporated (Smile Time Dental)
• S. Natarajan Medical Corporation
• S&a Podiatry Clinic Inc
• Hossein G. Saadati, MD
• Saanjh Transport LLC
• Adilene Saavedra Herrera

• Dental Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.