Organization Active NPI

Amer Safadid.M.D,Inc

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1184741928
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
33363 Issued in CA
Legal business name
AMER SAFADID.M.D,INC
Practice address
6940 Santa Teresa Blvd
Suite#4
San Jose, CA 95119-1345
Phone
(408) 972-2811
Fax
(408) 972-2836
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Amer Safadi, D.M.D
Title
President
Phone
(408) 972-2811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 33363 CA Primary

Addresses

Primary practice location

6940 Santa Teresa Blvd
Suite#4
San Jose, CA 95119-1345

Mailing address

6940 Santa Teresa Blvd
Suite#4
San Jose, CA 95119-1345
Phone (408) 972-2811

Other identifiers 1

IdentifierTypeStateIssuer
B33363-01MedicaidCA

National Provider Directory

National Provider Directory

Locations

6940 Santa Teresa Blvd
Ste 4
San Jose, CA 95119
Phone (408) 972-2811

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184741928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD",
            "address_2": "SUITE#4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-972-2811",
            "fax_number": "408-972-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 SANTA TERESA BLVD",
            "address_2": "SUITE#4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191345",
            "telephone_number": "408-972-2811",
            "fax_number": "408-972-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMER SAFADID.M.D,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAFADI",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-972-2811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "33363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B33363-01",
            "state": "CA"
        }
    ],
    "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 Aug 22, 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.