Active NPI
Syed Ahmed, DDS
- Dentist
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 109714
- Practice address
- 1211 Hammond Street
Modesto, CA 95351 - Phone
- (209) 722-4842
- NPI assigned
- Apr 29, 2021
- Last updated
- Jan 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 109714 | CA | Primary |
Addresses
Primary practice location
1211 Hammond Street
Modesto, CA 95351
Mailing address
1609 Endeavor Way
Modesto, CA 95356-8002
Phone (714) 747-0182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Centers | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients |
Locations
1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900
821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481
250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
1114 6th St
Modesto, CA 95354
Phone (209) 576-2845
1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488
1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080
637 Merced St
Newman, CA 95360
Phone (209) 862-0270
200 C St
Patterson, CA 95363
Phone (209) 892-6307
9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253
4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435
1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Turlock, CA
- NPI 1356445753
-
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1730163734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1659954402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 ENDEAVOR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953568002",
"telephone_number": "714-747-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 HAMMOND STREET",
"city": "MODESTO",
"state": "CA",
"postal_code": "95351",
"telephone_number": "209-722-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "SYED",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-29",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "109714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.