NPIMap

Organization Active NPI

J Sahouria, DDS, Inc

  • Dentist
  • Rohnert Park, CA
National Provider Identifier
1346650579
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53480 Issued in CA
Legal business name
J SAHOURIA, DDS, INC
Doing business as
Sonoma County Family Dental
Practice address
1301 Medical Center Dr Ste a
Rohnert Park, CA 94928-2902
Phone
(707) 623-9123
NPI assigned
Apr 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Dr. Jamie Sahouria, DDS MS
Title
President
Phone
(707) 623-9123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53480 CA Primary

Addresses

Primary practice location

1301 Medical Center Dr Ste a
Rohnert Park, CA 94928-2902

Mailing address

1301 Medical Center Dr Ste a
Rohnert Park, CA 94928-2902
Phone (707) 623-9123

Other names 1

  • Sonoma County Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1301 Medical Center Dr
Ste A
Rohnert Park, CA 94928
Phone (707) 623-9123

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1346650579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MEDICAL CENTER DR STE A",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282902",
            "telephone_number": "707-623-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MEDICAL CENTER DR STE A",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282902",
            "telephone_number": "707-623-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J SAHOURIA, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "SAHOURIA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-623-9123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoma County Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.