Samir Nanjapa, DDS, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

55840 Issued in CA

Practice address

1528 S El Camino Real
Suite 408
San Mateo, CA 94402-3060

Phone

(650) 477-6920

Fax

(650) 212-3505

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: snanjapa251099@direct-ucsfmedicalcenter.org

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.

• Samir Nanjapa DDS, a Dental Corporation

  dba Deccan Dental

  • Dentist
  • San Mateo, CA
  • NPI 1730525650
  NPD Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382140800000",
    "number": "1558430207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BARNESON AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022906",
            "telephone_number": "415-216-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 S EL CAMINO REAL",
            "address_2": "SUITE 408",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023060",
            "telephone_number": "650-477-6920",
            "fax_number": "650-212-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANJAPA",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019026323",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "55840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seethim Naicker, MD
• Karen Hempel Naifeh, PHD
• Shereen K Najjar
• Niki Nakamura, SUDRC I
• Saravanan Nambi, BDS, DDS, MPH
• Sarah D. Nanni, MD
• Tessa Brayden Napora
• Clay Hughes Napper, M.D.
• Elisa Narciso
• Nicole Narlock, M.A., BCBA

• Prosthodontics in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.