Individual provider Active NPI

Neela Rian, DMD

  • Dentist
  • San Jose, CA
National Provider Identifier
1437887759
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107772 Issued in CA
Practice address
2998 S Bascom Ave Ste 100
San Jose, CA 95124-1467
Phone
(469) 269-9640
NPI assigned
Aug 13, 2022
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107772 CA Primary

Addresses

Primary practice location

2998 S Bascom Ave Ste 100
San Jose, CA 95124-1467

Mailing address

2998 S Bascom Ave Ste 100
San Jose, CA 95124-1467
Phone (469) 269-9640

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
107772CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Niloofar Mohammadi DMD Dentistry Corp CurrentSince Nov 5, 2023 Accepting new patients

Locations

2998 S Bascom Ave
Ste 100
San Jose, CA 95124
Phone (469) 269-9640

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1660348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1437887759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 S BASCOM AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951241467",
            "telephone_number": "469-269-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2998 S BASCOM AVE STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951241467",
            "telephone_number": "469-269-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIAN",
        "first_name": "NEELA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-13",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.