Nader Mehra Vafaie, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

46344 Issued in CA

Practice address

1615 Hill Rd
Suite #19
Novato, CA 94947-4340

Phone

(415) 209-6000

Fax

(415) 209-6100

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407911886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HILL RD",
            "address_2": "SUITE #19",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474340",
            "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",
            "address_2": "SUITE #19",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474340",
            "telephone_number": "415-209-6000",
            "fax_number": "415-209-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAFAIE",
        "first_name": "NADER",
        "middle_name": "MEHRA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "46344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ullman, OTR/L
• Byron Urdaneta
• US Vet Meds, LLC
• Eva Marie Use
• Brian K Uyesugi, PHARM D
• Silke Regina Valentine, LMT
• Alexandra Rane Valenzuela
• Michelle Vande Stouwe
• Edward Carl Vander Clute, LCSW
• Shivani Vasishta, PA

• Endodontics in Novato, CA
• Providers in Novato, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.