Organization Active NPI

Benva O. Lazar DMD & Berna Sanayei DDS Incorporation

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1649303264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BENVA O. LAZAR DMD & BERNA SANAYEI DDS INCORPORATION
Practice address
2929 The Villages Pkwy
San Jose, CA 95135-1442
Phone
(408) 274-9554
Fax
(408) 274-4320
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Raji Johl
Title
Office Manager
Phone
(408) 274-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2929 The Villages Pkwy
San Jose, CA 95135-1442

Mailing address

2929 The Villages Pkwy
San Jose, CA 95135-1442
Phone (408) 274-9554

Other names 1

  • Benva O. Lazar DMD & Berna Sanayei DDS Incorporation Doing business as

National Provider Directory

National Provider Directory

Locations

2929 The Villages Pkwy
San Jose, CA 95135
Phone (408) 274-9554

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649303264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 THE VILLAGES PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351442",
            "telephone_number": "408-274-9554",
            "fax_number": "408-274-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 THE VILLAGES PKWY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351442",
            "telephone_number": "408-274-9554",
            "fax_number": "408-274-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENVA O. LAZAR DMD & BERNA SANAYEI DDS INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHL",
        "authorized_official_first_name": "RAJI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "408-274-9554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benva O. Lazar DMD & Berna Sanayei DDS Incorporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.