Sameeh G Tadros, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60093 Issued in CA

Practice address

10987 NW 72ND Ter
Doral, FL 33178-3667

Phone

(786) 449-1361

NPI assigned

Jan 5, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stadros@direct.westerndental.com

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.

• Sameeh G Tadros DDS Inc

  • Dentist
  • Irvine, CA
  • NPI 1497187793
  NPD (past) Authorized official
• Gajendragadkar Dental Corp

  • General Practice Dentistry
  • Laguna Hills, CA
  • NPI 1275409773
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1356645303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23030 LAKE FOREST DR",
            "address_2": "SUITE 201",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531331",
            "telephone_number": "949-916-0568",
            "fax_number": "949-916-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10987 NW 72ND TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331783667",
            "telephone_number": "786-449-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "SAMEEH",
        "middle_name": "G",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorna Sylvester
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• Esther Tatiana Taboada Valdivia
• Jose Camilo Tabraue, APRN
• Lina De Lourdes Tajan Taffin
• Marlene Tajan Taffin
• Tajose LLC (Heart Med Pharmacy)
• Tajose LLC (Heart Med Pharmacy)
• Talanco One Inc (Global Reach Rx USA)

• General Practice Dentistry in Doral, FL
• Providers in Doral, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.