Individual provider Active NPI

Qaneta Syed

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1366178162
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS107434 Issued in CA
Practice address
1403 Allen Rd Ste 1000
Bakersfield, CA 93314-9660
Phone
(661) 368-0919
NPI assigned
Jul 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS107434 CA Primary

Addresses

Primary practice location

1403 Allen Rd Ste 1000
Bakersfield, CA 93314-9660

Mailing address

27552 Artine Dr
Santa Clarita, CA 91350-2190
Phone (661) 619-3672

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260409002880 CA Practitioner - Dentist 5193290856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
University of Detroit Mercy School of Dentistry, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

335 E Ave I
Lancaster, CA 93535-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS107434CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shah and Huynh Dental Corporation PastSince Jul 31, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1366178162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27552 ARTINE DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502190",
            "telephone_number": "661-619-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 ALLEN RD STE 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933149660",
            "telephone_number": "661-368-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYED",
        "first_name": "QANETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS107434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.