Active NPI
Deepak K Sachdev DDS Inc.
- General Practice Dentistry
- San Mateo, CA
National Provider Identifier
1306039128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DEEPAK K SACHDEV DDS INC.
- Practice address
- 1415 S El Camino Real
San Mateo, CA 94402-3019 - Phone
- (650) 573-6500
- Fax
- (650) 573-6500
- NPI assigned
- Aug 24, 2007
- 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
- Dr. Deepak Kumar Sachdev, DDS
- Title
- President
- Phone
- (650) 573-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1415 S El Camino Real
San Mateo, CA 94402-3019
Mailing address
1415 S Elcamino Real
San Mateo, CA 94402
Phone (650) 573-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B41534-01 | Other | CA | MEDI-CAL |
National Provider Directory
National Provider Directory- Tax ID family
- Deepak K Sachdev DDS Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Freedom, CA
- NPI 1801089610
-
- General Practice Dentistry
- San Mateo, CA
- NPI 1952503203
Locations
1415 S El Camino Real
San Mateo, CA 94402
Phone (650) 573-6500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187913600000",
"number": "1306039128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 S ELCAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94402",
"telephone_number": "650-573-6500",
"fax_number": "650-573-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 S EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023019",
"telephone_number": "650-573-6500",
"fax_number": "650-573-6500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEEPAK K SACHDEV DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-24",
"last_updated": "2007-08-24",
"status": "A",
"authorized_official_last_name": "SACHDEV",
"authorized_official_first_name": "DEEPAK",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-573-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "B41534-01",
"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 Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.