Active NPI
Nadia Barakat, DDS
- Pediatric Dentistry
- Belmont, CA
National Provider Identifier
1497400899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 104654
- Practice address
- 2130 Ralston Ave Ste 1B
Belmont, CA 94002-1664 - Phone
- (650) 591-4408
- Fax
- (650) 365-2690
- NPI assigned
- Feb 15, 2022
- Last updated
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 104654 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lulu's Dental Inc | Pediatric Dentistry | Current | Accepting new patients |
Locations
2130 Ralston Ave
Ste 1B
Belmont, CA 94002
Phone (650) 591-4408
Interoperability endpoints
- nbarakat@student.llu.edu
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": "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.