Individual provider Active NPI

Sima Maleki, DDS, PHD

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1184225211
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105584 Issued in CA
Practice address
1155 N Capitol Ave Ste 160
San Jose, CA 95132-2559
Phone
(408) 272-2720
NPI assigned
Nov 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 105584 CA Primary

Addresses

Primary practice location

1155 N Capitol Ave Ste 160
San Jose, CA 95132-2559

Mailing address

1155 N Capitol Ave Ste 160
San Jose, CA 95132-2559
Phone (408) 272-2720

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
105584CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alan M Alvarez DDS, Inc. PastSince Nov 8, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1184225211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N CAPITOL AVE STE 160",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322559",
            "telephone_number": "408-272-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N CAPITOL AVE STE 160",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322559",
            "telephone_number": "408-272-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKI",
        "first_name": "SIMA",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.