Individual provider Active NPI

Sara Hamed-Negahdar, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1366842189
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63694 Issued in CA
Practice address
4860 Cherry Ave Ste a
San Jose, CA 95118-3716
Phone
(408) 785-4937
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63694 CA Primary

Addresses

Primary practice location

4860 Cherry Ave Ste a
San Jose, CA 95118-3716

Mailing address

4860 Cherry Ave Ste a
San Jose, CA 95118-3716
Phone (408) 785-4937

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
I20160120001580 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668775958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sara Hamed-Negahdar DDS Dental Corporation General Practice Current Accepting new patients

Locations

4860 Cherry Ave
Ste A
San Jose, CA 95118
Phone (408) 266-2153

Organizations & group practices 1

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1366842189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 CHERRY AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183716",
            "telephone_number": "408-785-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 CHERRY AVE STE A",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183716",
            "telephone_number": "408-785-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMED-NEGAHDAR",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.