Individual provider Active NPI

Khalil Saghezchi, DDS

  • General Practice Dentistry
  • Santa Clara, CA
National Provider Identifier
1265679559
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36829 Issued in CA
Practice address
2725 El Camino Real Ste 109
Santa Clara, CA 95051-3000
Phone
(408) 241-4111
Fax
(408) 241-5940
NPI assigned
Jan 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 36829 CA Primary

Addresses

Primary practice location

2725 El Camino Real Ste 109
Santa Clara, CA 95051-3000

Mailing address

2725 El Camino Real Ste 109
Santa Clara, CA 95051-3000
Phone (408) 241-4111

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

LicenseStateTypeSpecialty
36829CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Saman Sajid DDS Dental Corporation Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1265679559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 EL CAMINO REAL STE 109",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950513000",
            "telephone_number": "408-241-4111",
            "fax_number": "408-241-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 EL CAMINO REAL STE 109",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950513000",
            "telephone_number": "408-241-4111",
            "fax_number": "408-241-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGHEZCHI",
        "first_name": "KHALIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.