Organization Active NPI

Samer S. Alassaad DDS, Inc

  • General Practice Dentistry
  • Davis, CA
National Provider Identifier
1619446390
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAMER S. ALASSAAD DDS, INC
Practice address
635 Anderson Rd Ste 17
Davis, CA 95616-3505
Phone
(530) 220-3439
NPI assigned
Nov 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Authorized official

Name
Samer Said Alassaad, DDSNPI 1104086875
Title
President
Phone
(530) 757-6453

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

635 Anderson Rd Ste 17
Davis, CA 95616-3505

Mailing address

4204 Vistosa St
Davis, CA 95618-7120
Phone (530) 757-6453

National Provider Directory

National Provider Directory

Locations

635 Anderson Rd
Ste 17
Davis, CA 95616
Phone (530) 220-3439

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": "1543104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1619446390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 VISTOSA ST",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187120",
            "telephone_number": "530-757-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ANDERSON RD STE 17",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956163505",
            "telephone_number": "530-220-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMER S. ALASSAAD DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-25",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "ALASSAAD",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "SAID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-757-6453",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.