Organization Active NPI

Hamed Javadi D.D.S., M.S., Inc.

  • Periodontics
  • Novato, CA
National Provider Identifier
1174688295
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
50413 Issued in CA
Legal business name
HAMED JAVADI D.D.S., M.S., INC.
Practice address
1615 Hill Rd Ste 4
Novato, CA 94947-4304
Phone
(415) 898-6660
NPI assigned
Dec 27, 2006
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Dr. Hamed Javadi, D.D.S., M.S.NPI 1376964361
Title
President
Phone
(415) 392-1265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 50413 CA Primary

Addresses

Primary practice location

1615 Hill Rd Ste 4
Novato, CA 94947-4304

Mailing address

450 Sutter St RM 2018
San Francisco, CA 94108-4104
Phone (415) 392-1265

Other practice location 1

450 Sutter St Rm 2018
San Francisco, CA 94108-4104
Phone (415) 392-1265

National Provider Directory

National Provider Directory

Locations

1615 Hill Rd
Ste 4
Novato, CA 94947
Phone (415) 898-6660

450 Sutter St
Rm 2018
San Francisco, CA 94108
Phone (415) 392-1265

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1174688295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2018",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084104",
            "telephone_number": "415-392-1265",
            "fax_number": "415-392-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HILL RD STE 4",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474304",
            "telephone_number": "415-898-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Sutter St Rm 2018",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941084104",
            "country_code": "US",
            "telephone_number": "415-392-1265",
            "fax_number": "415-392-1267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAMED JAVADI D.D.S., M.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "JAVADI",
        "authorized_official_first_name": "HAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-392-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "50413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.