Organization Active NPI

Dr. Syed S.Rizvi DDS. a Professional Corporation

  • Dental Clinic/Center
  • Stockton, CA
National Provider Identifier
1104313030
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
57825 Issued in CA
Legal business name
DR. SYED S.RIZVI DDS. A PROFESSIONAL CORPORATION
Practice address
940 N Center St
Stockton, CA 95202
Phone
(209) 922-1983
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Authorized official

Name
Dr. Syed Sajjad Rizvi, DDS
Title
Dentist
Phone
(209) 922-1983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 57825 CA Primary

Addresses

Primary practice location

940 N Center St
Stockton, CA 95202

Mailing address

301 Lone Oak Dr
Pleasanton, CA 94566-7662
Phone (209) 922-1983

National Provider Directory

National Provider Directory

Locations

940 N Center St
Stockton, CA 95202
Phone (209) 922-1983

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1104313030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LONE OAK DR",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667662",
            "telephone_number": "209-922-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N CENTER ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95202",
            "telephone_number": "209-922-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SYED S.RIZVI DDS. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "SAJJAD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-922-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "57825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.