NPIMap

Organization Active NPI

Samer R. Namoo DDS, Inc

Doing business as La Mesa Smiles & Family Dentistry

  • Dental Clinic/Center
  • La Mesa, CA
National Provider Identifier
1548799182
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
64546 Issued in CA
Legal business name
SAMER R. NAMOO DDS, INC
Doing business as
La Mesa Smiles & Family Dentistry
Practice address
8419 La Mesa Blvd Ste a
La Mesa, CA 91942-5381
Phone
(619) 464-3191
Fax
(619) 464-0534
NPI assigned
Jun 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Samer Raad Namoo, DDS
Title
President
Phone
(619) 464-3191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 64546 CA Primary

Addresses

Primary practice location

8419 La Mesa Blvd Ste a
La Mesa, CA 91942-5381

Mailing address

8419 La Mesa Blvd Ste a
La Mesa, CA 91942-5381
Phone (619) 464-3191

Other names 1

  • La Mesa Smiles & Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8419 La Mesa Blvd
Ste A
La Mesa, CA 91942
Phone (619) 464-3191

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548799182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 LA MESA BLVD STE A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425381",
            "telephone_number": "619-464-3191",
            "fax_number": "619-464-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 LA MESA BLVD STE A",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425381",
            "telephone_number": "619-464-3191",
            "fax_number": "619-464-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMER R. NAMOO DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NAMOO",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "RAAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-464-3191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Mesa Smiles & Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.