Active NPI
Siamak Okhovat, DDS
- General Practice Dentistry
- Roseville, CA
National Provider Identifier
1538266499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47541
- Practice address
- 2110 Professional Dr
Suite 115
Roseville, CA 95661-3752 - Phone
- (916) 783-5600
- NPI assigned
- Sep 20, 2006
- Last updated
- May 27, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47541 | CA | Primary |
Addresses
Primary practice location
2110 Professional Dr
Suite 115
Roseville, CA 95661-3752
Mailing address
7136 Artisan Cir
Roseville, CA 95678-2906
Phone (916) 765-2054
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 |
|---|---|---|---|
| 47541 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okhovat Dental Practice of Auburn | Current | Accepting new patients | |
| Okhovat Professional Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Auburn, CA
- NPI 1184300584
-
dba Roseville Top Smiles
- General Practice Dentistry
- Roseville, CA
- NPI 1972840965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306454400000",
"number": "1538266499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7136 ARTISAN CIR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956782906",
"telephone_number": "916-765-2054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 PROFESSIONAL DR",
"address_2": "SUITE 115",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613752",
"telephone_number": "916-783-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKHOVAT",
"first_name": "SIAMAK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2011-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.