Active NPI
Eilkay Samadi, DDS
- Dentist
- Palm Desert, CA
National Provider Identifier
1114646338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107864
- Practice address
- 42505 Washington St Ste 101
Palm Desert, CA 92211-8835 - Phone
- (760) 342-4341
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107864 | CA | Primary |
Addresses
Primary practice location
42505 Washington St Ste 101
Palm Desert, CA 92211-8835
Mailing address
35751 Gateway Dr Unit C333
Palm Desert, CA 92211-6036
Phone (760) 845-7624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1114646338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35751 GATEWAY DR UNIT C333",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922116036",
"telephone_number": "760-845-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42505 WASHINGTON ST STE 101",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922118835",
"telephone_number": "760-342-4341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMADI",
"first_name": "EILKAY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.