Organization Active NPI

Samuel Saesim DDS Inc.

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1598255648
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on May 15, 2018

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

Authorized official

Name
Samuel Saesim, DDSNPI 1437463882
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.