NPIMap

Organization Active NPI

W.a. Samaan DDS Inc

  • General Practice Dentistry
  • Diamond Bar, CA
National Provider Identifier
1346581709
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29658 Issued in CA
Legal business name
W.A. SAMAAN DDS INC
Practice address
750 N Diamond Bar Blvd Ste 216
Diamond Bar, CA 91765-1023
Phone
(909) 860-3111
NPI assigned
Mar 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Mr. Wasseem Alphonse Samaan, DDSNPI 1669500567
Title
Owner/Dentist
Phone
(909) 860-3111

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 29658 CA Primary

Addresses

Primary practice location

750 N Diamond Bar Blvd Ste 216
Diamond Bar, CA 91765-1023

Mailing address

750 N Diamond Bar Blvd Ste 216
Diamond Bar, CA 91765-1023
Phone (909) 860-3111

National Provider Directory

National Provider Directory

Locations

750 N Diamond Bar Blvd
Ste 216
Diamond Bar, CA 91765
Phone (909) 860-3111

Practitioners & affiliated clinicians

Practitioners 3

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": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1346581709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N DIAMOND BAR BLVD STE 216",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651023",
            "telephone_number": "909-860-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N DIAMOND BAR BLVD STE 216",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651023",
            "telephone_number": "909-860-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W.A. SAMAAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "SAMAAN",
        "authorized_official_first_name": "WASSEEM",
        "authorized_official_middle_name": "ALPHONSE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "909-860-3111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.