Samaneh Daftarian Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SAMANEH DAFTARIAN CORP

Doing business as

iCreate Smiles

Practice address

3200 Middlefield Rd Suite a
Palo Alto, CA 94306

Phone

(650) 321-2012

Fax

(650) 324-1908

NPI assigned

Mar 14, 2023

Organization subpart

No

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

Authorized official

Name

Samaneh Daftarian

Title

Owner/DDS

Phone

(650) 885-0508

Specialties & licenses 2

Addresses

Other names 1

• iCreate Smiles Doing business as

Tax ID family

Icreate Smiles2 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.

• Samaneh Daftarian Dental Corp

  • Dental Clinic/Center
  • Menlo Park, CA
  • NPI 1174160584
  NPD tax ID

Locations

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1417658741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MIDDLEFIELD RD SUITE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-321-2012",
            "fax_number": "650-324-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MIDDLEFIELD RD SUITE A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-321-2012",
            "fax_number": "650-324-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANEH DAFTARIAN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "DAFTARIAN",
        "authorized_official_first_name": "SAMANEH",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "650-885-0508"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iCreate Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saluca, PC
• Nicole Borchard Salvi
• Gabriel Simon Salzman, MD
• Idris Samad
• Tahmina Firdowse Samad, MD
• Peyman Zaman Samghabadi, M.D.
• Kimberly Marie Samson, PT
• Lesley J Samuels, D.D.S
• Marc Samuels, MS/OTR/L
• Lisa Scharp Samuelson, M.D.

• Dentist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.