Organization Active NPI

Nicky M Hakimi DDS Inc

  • Periodontics
  • Roseville, CA
National Provider Identifier
1598810004
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
39155 Issued in CA
Legal business name
NICKY M HAKIMI DDS INC
Practice address
1420 E Roseville Pkwy
Suite 230
Roseville, CA 95661-3078
Phone
(916) 788-1114
Fax
(916) 788-1353
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Dr. Nicky M Hakimi, DDS, MSD
Title
Dentist Owner
Phone
(916) 788-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 39155 CA Primary

Addresses

Primary practice location

1420 E Roseville Pkwy
Suite 230
Roseville, CA 95661-3078

Mailing address

1420 E Roseville Pkwy
Suite 230
Roseville, CA 95661-3078
Phone (916) 788-1114

National Provider Directory

National Provider Directory

Locations

1420 E Roseville Pkwy
Ste 230
Roseville, CA 95661
Phone (916) 788-1114

Practitioners & affiliated clinicians

Practitioners 2

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1598810004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E ROSEVILLE PKWY",
            "address_2": "SUITE 230",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613078",
            "telephone_number": "916-788-1114",
            "fax_number": "916-788-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E ROSEVILLE PKWY",
            "address_2": "SUITE 230",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613078",
            "telephone_number": "916-788-1114",
            "fax_number": "916-788-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKY M HAKIMI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "HAKIMI",
        "authorized_official_first_name": "NICKY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "916-788-1114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "39155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.