Active NPI
Valeri Sacknoff, D.D.S.
- General Practice Dentistry
- Poway, CA
National Provider Identifier
1194813337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34896
- Practice address
- 15725 Pomerado Rd Ste 110
Poway, CA 92064-2058 - Phone
- (858) 485-6900
- Fax
- (858) 485-5875
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34896 | CA | Primary |
Addresses
Primary practice location
15725 Pomerado Rd Ste 110
Poway, CA 92064-2058
Mailing address
15725 Pomerado Rd Ste 110
Poway, CA 92064-2058
Phone (858) 485-6900
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valeri Sacknoff D D S Inc | Past | 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": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194813337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15725 POMERADO RD STE 110",
"city": "POWAY",
"state": "CA",
"postal_code": "920642058",
"telephone_number": "858-485-6900",
"fax_number": "858-485-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15725 POMERADO RD STE 110",
"city": "POWAY",
"state": "CA",
"postal_code": "920642058",
"telephone_number": "858-485-6900",
"fax_number": "858-485-5875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKNOFF",
"first_name": "VALERI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "34896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.