Samuel Demirdji, DDS, Ms, Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

48447 Issued in CA

Legal business name

SAMUEL DEMIRDJI, DDS, MS, INC

Doing business as

SDOrthodontics

Practice address

7199 Boulder Ave
Suite 5
Highland, CA 92346-3398

Phone

(909) 864-6510

Fax

(909) 864-7410

NPI assigned

Jan 27, 2015

Last updated

Jan 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Demirdji, D.D.S. , M.S.NPI 1730279431

Title

President

Phone

(909) 864-6510

Specialties & licenses 1

Addresses

Other names 1

• SDOrthodontics 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, and the practitioner matching its NPPES authorized official.

• Samuel A Demirdji, DDS, MS, PHD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Highland, CA
  • NPI 1730279431
  NPD (past) Authorized official

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1144610247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7199 BOULDER AVE",
            "address_2": "SUITE 5",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463398",
            "telephone_number": "909-864-6510",
            "fax_number": "909-864-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7199 BOULDER AVE",
            "address_2": "SUITE 5",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923463398",
            "telephone_number": "909-864-6510",
            "fax_number": "909-864-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL DEMIRDJI, DDS, MS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "DEMIRDJI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-864-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S. , M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "48447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDOrthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christel Dawn Salas, LCSW
• Susan M Salazar, M.D.
• Jessilyn Salcido
• Dwight A. Salkey, PT
• Ghiwa Lina Samaan
• Joely Alexys Sanchez
• Alexis Desiree Sandoval, MS
• Veronica Sandoval
• Nicolette Rose Santini
• Marwa Sara

• Orthodontics and Dentofacial Orthopedics Dentistry in Highland, CA
• Providers in Highland, 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 Jan 27, 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.