Sajjadi a Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SAJJADI A DENTAL CORPORATION

Doing business as

My Dentistry Dental Group

Practice address

15418 Hawthorne Blvd
Suite #a
Lawndale, CA 90260-3828

Phone

(310) 675-7576

Fax

(310) 675-7779

NPI assigned

Aug 5, 2006

Last updated

Oct 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mirsaeid Sajjadi, DDS

Title

Ceo

Phone

(310) 675-7576

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• My Dentistry Dental Group Doing business as

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1215946447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15418 HAWTHORNE BLVD",
            "address_2": "SUITE #A",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603828",
            "telephone_number": "310-675-7576",
            "fax_number": "310-675-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15418 HAWTHORNE BLVD",
            "address_2": "SUITE #A",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902603828",
            "telephone_number": "310-675-7576",
            "fax_number": "310-675-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAJJADI A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SAJJADI",
        "authorized_official_first_name": "MIRSAEID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-675-7576",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "G92446-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.