Individual provider Active NPI

Jon S Sayed, DDS

  • Pediatric Dentistry
  • Rancho Santa Margarita, CA
National Provider Identifier
1174680714
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
43493 Issued in CA
Practice address
30212 Tomas
Suite 240
Rancho Santa Margarita, CA 92688-2172
Phone
(949) 888-8808
Fax
(949) 888-7828
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 43493 CA Primary

Addresses

Primary practice location

30212 Tomas
Suite 240
Rancho Santa Margarita, CA 92688-2172

Mailing address

30212 Tomas
Suite 240
Rancho Santa Margarita, CA 92688-2172
Phone (949) 888-8808

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

State licenses

LicenseStateTypeSpecialty
43493CAMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1174680714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 240",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882172",
            "telephone_number": "949-888-8808",
            "fax_number": "949-888-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 240",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882172",
            "telephone_number": "949-888-8808",
            "fax_number": "949-888-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYED",
        "first_name": "JON",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "43493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.