Mesk Samara

Primary specialty

DentistTaxonomy code 122300000X

License

112426 Issued in CA

Practice address

12880 Central Ave
Boulder Creek, CA 95006-9114

Phone

(831) 338-1888

NPI assigned

Oct 6, 2025

Last updated

Oct 6, 2025By the provider in NPPES

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

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.

• Sulmaan Hassan DDS Inc.

  • Dental Clinic/Center
  • Boulder Creek, CA
  • NPI 1124633151
  NPD

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1245104827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16370 MATILIJA DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950303079",
            "telephone_number": "708-835-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12880 CENTRAL AVE",
            "city": "BOULDER CREEK",
            "state": "CA",
            "postal_code": "950069114",
            "telephone_number": "831-338-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARA",
        "first_name": "MESK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Isaac Pearson
• Brandi Phillips, RN
• Jordenne Rachelle, MA
• Patrick Brendan Rogers, D.C.
• Mayya Sakr
• Alexandra E. Schulthess, ND, BCDNM,CFMP
• Corinne Lyn Seymour, MA, LMFT
• Micah Elizabeth Smith-Khan, M.S., CCC-SLP
• Michelle Marlys South, LVN
• Anna Sramek, RDN

• Dentist in Boulder Creek, CA
• Providers in Boulder Creek, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.