Organization Active NPI

Niloofar Mohammadi DMD Dentistry Corp

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1295517753
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NILOOFAR MOHAMMADI DMD DENTISTRY CORP
Practice address
2998 S Bascom Ave Ste 100
San Jose, CA 95124-1467
Phone
(650) 276-3355
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Neela Rian, DMDNPI 1437887759
Title
Dentist
Phone
(650) 276-3355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2998 S Bascom Ave Ste 100
San Jose, CA 95124-1467

Mailing address

2998 S Bascom Ave Ste 100
San Jose, CA 95124-1467

Other names 1

  • Summer Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2998 S Bascom Ave
Ste 100
San Jose, CA 95124
Phone (650) 276-3355

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1295517753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 S BASCOM AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951241467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2998 S BASCOM AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951241467",
            "telephone_number": "650-276-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILOOFAR MOHAMMADI DMD DENTISTRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "RIAN",
        "authorized_official_first_name": "NEELA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-276-3355",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.