Mahdi Salek, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

60788 Issued in CA

Practice address

2448 Guerneville Rd Ste 1000
Santa Rosa, CA 95403-7226

Phone

(707) 230-6702

NPI assigned

Jul 27, 2011

Last updated

Feb 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• M.S. Salek DDS, a Dental Corporation

  dba Dentistry

  • General Practice Dentistry
  • Santa Rosa, CA
  • NPI 1194369942
  NPD Authorized official
• Mehdi Salek DDS a Prof Dental Corp

  • Dentist
  • Benicia, CA
  • NPI 1699162172
  NPD (past)

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1215215041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946232210",
            "telephone_number": "510-535-3655",
            "fax_number": "510-535-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 GUERNEVILLE RD STE 1000",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037226",
            "telephone_number": "707-230-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Military W Ste 304",
            "address_purpose": "LOCATION",
            "city": "Benicia",
            "state": "CA",
            "postal_code": "945103037",
            "country_code": "US",
            "telephone_number": "707-297-6240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEK",
        "first_name": "MAHDI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-27",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028791",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Michael Sajewicz, M.D.
• Anita Delos Reyes Salanga
• Jocelyn Salazar
• Tara Yajaira Fabiani Saldana Ibarra
• Marilu Saldana, PPSC
• Jill Salenger-Kane, PSY.D.
• Jawaad Saliman
• Belen Victoria Salinas
• Catia Cristal Salinas
• Justin M Salinger

• Dentist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.