Saeidi DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAEIDI DDS INC

Doing business as

Vineyard Dental Group

Practice address

1820 Sonoma Ave
Santa Rosa, CA 95405-6616

Phone

(707) 545-0944

NPI assigned

Feb 13, 2020

Last updated

Feb 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad-Reza Saeidi, DDSNPI 1982034294

Title

Owner

Phone

(707) 545-0944

Specialties & licenses 1

Addresses

Other names 1

• Vineyard Dental Group Doing business as

Locations

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.

• Mohammad Reza Saeidi, DDS

  • Dentist
  • Santa Rosa, CA
  • NPI 1982034294
  NPD Authorized official

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1487287843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056616",
            "telephone_number": "707-545-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954056616",
            "telephone_number": "707-545-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAEIDI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "SAEIDI",
        "authorized_official_first_name": "MOHAMMAD-REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-545-0944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stevie Rybacki
• Maria Theresa Saavedra, SLP
• Jasdeep Singh Sabharwal, MD
• Gregory Neill Sacher, MD
• Aynna Y. Sae, MD
• Mohammad Reza Saeidi, DDS
• Safeway Inc (Safeway Pharmacy #0956)
• Safeway Inc (Safeway Pharmacy #0713)
• Safeway Inc (Safeway Pharmacy #1576)
• Brice Safford

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.