Organization Active NPI

Ahmed DDS PC

Doing business as Ivy Dental Group

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1619346517
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49441 Issued in CA
Legal business name
AHMED DDS PC
Doing business as
Ivy Dental Group
Practice address
9700 Business Park Dr
Suite 400a
Sacramento, CA 95827-1712
Phone
(916) 670-0139
NPI assigned
Sep 21, 2015
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Authorized official

Name
Sameena Ahmed, DDSNPI 1699843219
Title
President
Phone
(916) 368-7889

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49441 CA Primary

Addresses

Primary practice location

9700 Business Park Dr
Suite 400a
Sacramento, CA 95827-1712

Mailing address

184 Orange Blossom Cir
Folsom, CA 95630-8102

Other names 1

  • Ivy Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

9700 Business Park Dr
Ste 400A
Sacramento, CA 95827
Phone (916) 368-7889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1619346517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 ORANGE BLOSSOM CIR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956308102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 BUSINESS PARK DR",
            "address_2": "SUITE 400A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271712",
            "telephone_number": "916-670-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SAMEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-368-7889",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.