Active NPI
Mikhail Nasakin, D.D.S.
- Dentist
- Palo Alto, CA
National Provider Identifier
1255643367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 62159
- Practice address
- 2421 Park Blvd
Suite A200
Palo Alto, CA 94306-1998 - Phone
- (650) 325-2457
- NPI assigned
- Jul 6, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 62159 | CA | Primary |
Addresses
Primary practice location
2421 Park Blvd
Suite A200
Palo Alto, CA 94306-1998
Mailing address
2421 Park Blvd
Suite A200
Palo Alto, CA 94306-1998
Phone (650) 325-2457
Other names 1
- Dr. Michael Nasakin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62159 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1255643367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 PARK BLVD",
"address_2": "SUITE A200",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061998",
"telephone_number": "650-325-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 PARK BLVD",
"address_2": "SUITE A200",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061998",
"telephone_number": "650-325-2457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASAKIN",
"first_name": "MIKHAIL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-06",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "62159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "NASAKIN",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.