Individual provider Active NPI

Niloofar Deyhim, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Palo Alto, CA
National Provider Identifier
1407114499
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
62011 Issued in CA
Practice address
853 Middlefield Rd Ste 1
Palo Alto, CA 94301-2900
Phone
(650) 389-9222
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 62011 CA Primary

Addresses

Primary practice location

853 Middlefield Rd Ste 1
Palo Alto, CA 94301-2900

Mailing address

3550 Alden Way Apt 15
San Jose, CA 95117-1569
Phone (408) 608-8012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
62011CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Niloofar Deyhim DDS Inc Oral & Maxillofacial Surgery Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ndeyhim345735@hisp.ehr.sutterhealth.org

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1407114499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 ALDEN WAY APT 15",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171569",
            "telephone_number": "408-608-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 MIDDLEFIELD RD STE 1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012900",
            "telephone_number": "650-389-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEYHIM",
        "first_name": "NILOOFAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "62011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.