NPIMap

Organization Active NPI

Nazareth Dental

  • Dental Clinic/Center
  • San Mateo, CA
National Provider Identifier
1275908253
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
52989 Issued in CA
Legal business name
NAZARETH DENTAL
Practice address
800 S B St Ste 200
San Mateo, CA 94401-4273
Phone
(650) 871-5217
Fax
(650) 588-6590
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Dr. Suhair Salim Hanhan, DDS
Title
Owner/Dentist
Phone
(650) 871-5217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 52989 CA Primary

Addresses

Primary practice location

800 S B St Ste 200
San Mateo, CA 94401-4273

Mailing address

800 S B St Ste 200
San Mateo, CA 94401-4273
Phone (650) 871-5217

Other identifiers 1

IdentifierTypeStateIssuer
1902974397OtherCANPPES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1275908253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S B ST STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014273",
            "telephone_number": "650-871-5217",
            "fax_number": "650-588-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S B ST STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014273",
            "telephone_number": "650-871-5217",
            "fax_number": "650-588-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARETH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "HANHAN",
        "authorized_official_first_name": "SUHAIR",
        "authorized_official_middle_name": "SALIM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "650-871-5217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "52989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1902974397",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.