NPIMap

Organization Active NPI

Sam Daniel Dason DDS Apdc

  • Dentist
  • Indio, CA
National Provider Identifier
1336276245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41386 Issued in CA
Legal business name
SAM DANIEL DASON DDS APDC
Practice address
81955 US Highway 111
Suite 102
Indio, CA 92201-5445
Phone
(760) 347-2331
Fax
(760) 347-0492
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sam Daniel Dason, D.D.S
Title
President
Phone
(760) 347-2331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 41386 CA Primary

Addresses

Primary practice location

81955 US Highway 111
Suite 102
Indio, CA 92201-5445

Mailing address

81955 US Highway 111
Suite 102
Indio, CA 92201-5445
Phone (760) 347-2331

National Provider Directory

National Provider Directory
Tax ID family
Sam Daniel Dason DDS Apdc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

81955 US Highway 111
Ste 102
Indio, CA 92201
Phone (760) 347-2331

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336276245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81955 US HIGHWAY 111",
            "address_2": "SUITE 102",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015445",
            "telephone_number": "760-347-2331",
            "fax_number": "760-347-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81955 US HIGHWAY 111",
            "address_2": "SUITE 102",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015445",
            "telephone_number": "760-347-2331",
            "fax_number": "760-347-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM DANIEL DASON DDS APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DASON",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-347-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.