Sadi Kermani DDS PC Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SADI KERMANI DDS PC INC

Doing business as

SoulSmile Orthodontics

Practice address

1331 Medical Center Dr Ste F
Rohnert Park, CA 94928-2900

Phone

(707) 852-1662

Fax

(707) 755-3895

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Sadi Kermani, DDSNPI 1043401078

Title

Owner/President

Phone

(415) 336-7234

Specialties & licenses 1

Addresses

Other names 1

• SoulSmile Orthodontics Doing business as

Locations

Practitioners 1

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

• Sadi N Kermani, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rohnert Park, CA
  • NPI 1043401078
  NPD Authorized official

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1043074354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 MEDICAL CENTER DR STE F",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282900",
            "telephone_number": "707-852-1662",
            "fax_number": "707-755-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 MEDICAL CENTER DR STE F",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282900",
            "telephone_number": "707-852-1662",
            "fax_number": "707-755-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADI KERMANI DDS PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "KERMANI",
        "authorized_official_first_name": "SADI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "415-336-7234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoulSmile Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia L. Rozenoff, FNP
• Jocelyn Rucker
• Diane Lamphier Ruddell, LCSW
• Joshua Ruiz, A.T.C.
• Rodney Ruppert II
• Safeway Inc (Safeway Pharmacy #0918)
• Jamie Jad Sahouria, D.D.S., M.S.
• Osvaldo Sanchez Fernandez
• Secilia Sanchez
• Satellite Healthcare Inc (Satellite Dialysis)

• Orthodontics and Dentofacial Orthopedics Dentistry in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.