Tariq H.Alsamaan D.D.S.Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

50884 Issued in CA

Legal business name

TARIQ H.ALSAMAAN D.D.S.DENTAL CORP

Practice address

607 W Channel Islands Blvd
Port Hueneme, CA 93041-2136

Phone

(805) 985-2273

Fax

(805) 985-2291

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Tariq Hafez Alsamaan, DDS

Title

Dentist Owner

Phone

(805) 985-2273

Specialties & licenses 1

Addresses

Other names 1

• ALL CARE DENTAL BY THE SEA Other name

Locations

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1588069116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412136",
            "telephone_number": "805-985-2273",
            "fax_number": "805-985-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412136",
            "telephone_number": "805-985-2273",
            "fax_number": "805-985-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARIQ H.ALSAMAAN D.D.S.DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "ALSAMAAN",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_middle_name": "HAFEZ",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "805-985-2273",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL CARE DENTAL BY THE SEA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven G. Johnson Dental Corporation (Johnson Family Dental)
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• Barbara Ruth Strong Doreo, DC MS
• Katie Marie Sugar, DMD
• Andrew Sullivan, D.O.
• Stephanie Teitsort, CMT/LMT
• Regina Tellez, LVN
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• Sandrickia Lazell Turner, LVN

• Dentist in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.