Active NPI
Samuel Saesim DDS Inc.
- Dentist
- Santa Ana, CA
National Provider Identifier
1598255648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SAMUEL SAESIM DDS INC.
- Practice address
- 1971 E 17TH St Ste a
Santa Ana, CA 92705-8603 - Phone
- (949) 445-0658
- NPI assigned
- May 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Saesim, DDS
- Title
- Ceo
- Phone
- (805) 390-2623
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
1971 E 17TH St Ste a
Santa Ana, CA 92705-8603
Mailing address
1971 E 17TH St Ste a
Santa Ana, CA 92705-8603
National Provider Directory
National Provider DirectoryLocations
1971 E 17th St
Ste A
Santa Ana, CA 92705
Phone (714) 486-1275
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1437463882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526342400000",
"number": "1598255648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1971 E 17TH ST STE A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 E 17TH ST STE A",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058603",
"telephone_number": "949-445-0658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL SAESIM DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A",
"authorized_official_last_name": "SAESIM",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-390-2623",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.