Organization Active NPI

Samadian Dental Office

  • Dental Clinic/Center
  • Antioch, CA
National Provider Identifier
1073283065
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SAMADIAN DENTAL OFFICE
Practice address
3107 Lone Tree Way Ste C
Antioch, CA 94509-4959
Phone
(925) 754-2662
NPI assigned
Sep 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Amin Samadian, DDS
Title
Ceo
Phone
(415) 676-7420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3107 Lone Tree Way Ste C
Antioch, CA 94509-4959

Mailing address

450 Sutter St RM 1519
San Francisco, CA 94108-4004
Phone (415) 421-2144

Other names 1

  • Dion Health Doing business as

National Provider Directory

National Provider Directory

Locations

3107 Lone Tree Way
Ste C
Antioch, CA 94509
Phone (925) 754-2662

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1073283065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 1519",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084004",
            "telephone_number": "415-421-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 LONE TREE WAY STE C",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094959",
            "telephone_number": "925-754-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMADIAN DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "SAMADIAN",
        "authorized_official_first_name": "AMIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-676-7420",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dion Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.