Active NPI
Dean N. Ahmad DDS Inc.
- Dental Clinic/Center
- Roseville, CA
National Provider Identifier
1245891829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DEAN N. AHMAD DDS INC.
- Practice address
- 580 N Sunrise Ave Ste 190
Roseville, CA 95661-3035 - Phone
- (916) 772-0112
- Fax
- (916) 772-0133
- NPI assigned
- Jun 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Comel Rehman Ahmad
- Title
- Business Manager
- Phone
- (916) 705-5754
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
580 N Sunrise Ave Ste 190
Roseville, CA 95661-3035
Mailing address
580 N Sunrise Ave Ste 190
Roseville, CA 95661-3035
Phone (916) 772-0112
Other names 1
- INNOVA PERIODONTICS & IMPLANT DENTISTRY
National Provider Directory
National Provider DirectoryLocations
580 N Sunrise Ave
Ste 190
Roseville, CA 95661
Phone (916) 770-9034
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Roseville, CA
- NPI 1902951064
-
- Periodontics
- Roseville, CA
- NPI 1881473411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561420800000",
"number": "1245891829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 N SUNRISE AVE STE 190",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613035",
"telephone_number": "916-772-0112",
"fax_number": "916-772-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 N SUNRISE AVE STE 190",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613035",
"telephone_number": "916-772-0112",
"fax_number": "916-772-0133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAN N. AHMAD DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "COMEL",
"authorized_official_middle_name": "REHMAN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "916-705-5754",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "INNOVA PERIODONTICS & IMPLANT DENTISTRY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.