NPIMap

Organization Active NPI

Behrouz Sami, DMD, Inc

  • Pediatric Dentistry
  • Modesto, CA
National Provider Identifier
1063890689
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
56883 Issued in CA
Legal business name
BEHROUZ SAMI, DMD, INC
Practice address
556 Lyell Dr
Modesto, CA 95356-8970
Phone
(209) 549-2400
NPI assigned
May 14, 2015
Last updated
May 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Behrouz Sami Daryani, D.M.DNPI 1578706636
Title
President/Owner
Phone
(209) 549-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 56883 CA Primary

Addresses

Primary practice location

556 Lyell Dr
Modesto, CA 95356-8970

Mailing address

556 Lyell Dr
Modesto, CA 95356-8970
Phone (209) 549-2400

National Provider Directory

National Provider Directory

Locations

556 Lyell Dr
Modesto, CA 95356
Phone (209) 549-2400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1063890689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 LYELL DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568970",
            "telephone_number": "209-549-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 LYELL DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568970",
            "telephone_number": "209-549-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHROUZ SAMI, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "SAMI DARYANI",
        "authorized_official_first_name": "BEHROUZ",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "209-549-2400",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.