Organization Active NPI

Nader M. Vafaie DMD MMSC Professional Corp

  • Endodontics
  • Novato, CA
National Provider Identifier
1386553121
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
NADER M. VAFAIE DMD MMSC PROFESSIONAL CORP
Practice address
1615 Hill Rd Ste 19
Novato, CA 94947-4304
Phone
(415) 209-6000
Fax
(415) 209-6100
NPI assigned
Sep 7, 2026
Last updated
Sep 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

1615 Hill Rd Ste 19
Novato, CA 94947-4304

Mailing address

1615 Hill Rd Ste 19
Novato, CA 94947-4304
Phone (415) 209-6000

National Provider Directory

National Provider Directory
Tax ID family
Nader M Vafaie DMD MMSC Professional Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1615 Hill Rd
Ste 19
Novato, CA 94947
Phone (415) 209-6000

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1386553121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HILL RD STE 19",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474304",
            "telephone_number": "415-209-6000",
            "fax_number": "415-209-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HILL RD STE 19",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474304",
            "telephone_number": "415-209-6000",
            "fax_number": "415-209-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADER M. VAFAIE DMD MMSC PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.