Sepideh Halliday, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42179 Issued in CA

Practice address

3988 S Bascom Ave
San Jose, CA 95124-2663

Phone

(408) 377-2101

NPI assigned

Oct 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1235640178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3070",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940240070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 S BASCOM AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242663",
            "telephone_number": "408-377-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIDAY",
        "first_name": "SEPIDEH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Clayton Hall
• Tayler Marie Hall
• Sophia Halleen
• Earl Lee Haller, DDS MS
• Kylene Ann Halliday, PSY. D.
• Thomas Howland Halliday, DDS
• Carlayna Halligan
• Lauren Yvonne Halliwell, RADT R1580460924
• Valerie Halls, MD
• Halo Ocean LLC

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.