Active NPI
Michael I Saed
- General Practice Dentistry
- Corona, CA
National Provider Identifier
1316391303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 100838
- Practice address
- 1074 W 6TH St Ste 104
Corona, CA 92882-1639 - Phone
- (951) 279-7650
- Fax
- (951) 279-4723
- NPI assigned
- Apr 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 100838 | CA | Primary |
Addresses
Primary practice location
1074 W 6TH St Ste 104
Corona, CA 92882-1639
Mailing address
1074 W 6TH St Ste 104
Corona, CA 92882-1639
Phone (951) 279-7650
Other practice location 1
10168 Indiana Ave
Riverside, CA 92503-5302
Phone (951) 335-0456
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 |
|---|---|---|---|
| 100838 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cox Dental Corporation | General Practice | 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.
-
dba dba Gentle Dental Corona
- General Practice Dentistry
- Corona, CA
- NPI 1255543807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1316391303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1074 W 6TH ST STE 104",
"city": "CORONA",
"state": "CA",
"postal_code": "928821639",
"telephone_number": "951-279-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1074 W 6TH ST STE 104",
"city": "CORONA",
"state": "CA",
"postal_code": "928821639",
"telephone_number": "951-279-7650",
"fax_number": "951-279-4723"
}
],
"practiceLocations": [
{
"address_1": "10168 Indiana Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925035302",
"country_code": "US",
"telephone_number": "951-335-0456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAED",
"first_name": "MICHAEL",
"middle_name": "I",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-16",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "100838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.