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
- 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
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.
-
- Pediatric Dentistry
- Belmont, CA
- NPI 1093597189
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.