Organization Active NPI

Seyed Amir M Hosseini DDS Inc

Doing business as San leandro braces

  • Dentist
  • San Leandro, CA
National Provider Identifier
1679012009
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
64469 Issued in CA
Legal business name
SEYED AMIR M HOSSEINI DDS INC
Doing business as
San leandro braces
Practice address
332 Dutton Ave
San Leandro, CA 94577-2806
Phone
(510) 568-3322
Fax
(510) 568-7308
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. Seyed Amir M Hosseini, DDS
Title
Dentist, Orthodontist
Phone
(510) 568-3322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 64469 CA Primary

Addresses

Primary practice location

332 Dutton Ave
San Leandro, CA 94577-2806

Mailing address

332 Dutton Ave
San Leandro, CA 94577-2806
Phone (510) 568-3322

Other names 1

  • San leandro braces Doing business as

National Provider Directory

National Provider Directory

Locations

332 Dutton Ave
San Leandro, CA 94577
Phone (510) 568-3322

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": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1679012009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 DUTTON AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772806",
            "telephone_number": "510-568-3322",
            "fax_number": "510-568-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 DUTTON AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772806",
            "telephone_number": "510-568-3322",
            "fax_number": "510-568-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYED AMIR M HOSSEINI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "HOSSEINI",
        "authorized_official_first_name": "SEYED AMIR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST, ORTHODONTIST",
        "authorized_official_telephone_number": "510-568-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "64469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San leandro braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.