Mohammad Kazem Sadeghi, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

045325-1 Issued in NY

Practice address

3370 Baychester Ave
Bronx, NY 10475-1565

Phone

(718) 671-2823

Fax

(718) 671-2824

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: msadeghi682099@nychhc.direct-ci.com

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.

• Optimum Dental Care, LLC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1730440587
  NPD (past)
• Premier Oral Surgery, PLLC

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1538420385
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568517431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751565",
            "telephone_number": "718-671-2823",
            "fax_number": "718-671-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751565",
            "telephone_number": "718-671-2823",
            "fax_number": "718-671-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "MOHAMMAD",
        "middle_name": "KAZEM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "045325-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02071396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melena Saddler, NCC, LMHC, BC-TMH
• Shaneika Larisa Saddler, REGISTERED NURSE
• Paulette Saddoo, LPN
• Ali Sadeghi, MD
• Ali Sadeghi, D.M.D
• Sanam Sadeghi
• Somayeh Sadeghi, D.M.D
• Arghavan Sadeghizangeneh, M.D.
• Alexander Javad Sadegholvad, MD
• Arzhang Sadeghy Zanganeh, MD

• Oral and Maxillofacial Surgery (Dentist) in Bronx, NY
• Providers in Bronx, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.