Individual provider Active NPI

Nadia Barakat, DDS

  • Pediatric Dentistry
  • Belmont, CA
National Provider Identifier
1497400899
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
104654 Issued in CA
Practice address
2130 Ralston Ave Ste 1B
Belmont, CA 94002-1664
Phone
(650) 591-4408
Fax
(650) 365-2690
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 104654 CA Primary

Addresses

Primary practice location

2130 Ralston Ave Ste 1B
Belmont, CA 94002-1664

Mailing address

2127 Pine St
San Francisco, CA 94115-2829
Phone (805) 233-0184

Other practice location 1

2127 Pine St
San Francisco, CA 94115-2829
Phone (805) 233-0184

Other names 1

  • Dr. Nadia Barakat Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbarakat@student.llu.edu Direct

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
104654CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lulu'S Dental Inc Pediatric Dentistry CurrentSince Oct 22, 2023 Accepting new patients

Locations

2130 Ralston Ave
Ste 1B
Belmont, CA 94002
Phone (650) 591-4408

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1497400899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 PINE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152829",
            "telephone_number": "805-233-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 RALSTON AVE STE 1B",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940021664",
            "telephone_number": "650-591-4408",
            "fax_number": "650-365-2690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2127 Pine St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941152829",
            "country_code": "US",
            "telephone_number": "805-233-0184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARAKAT",
        "first_name": "NADIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "104654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbarakat@student.llu.edu",
            "affiliation": "N",
            "endpointDescription": "university email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2127 Pine St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941152829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NADIA",
            "last_name": "BARAKAT",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.