Individual provider Active NPI

Albert Hagop Sadakian, D.D.S.

  • Dentist
  • Redwood City, CA
National Provider Identifier
1679813513
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31374 Issued in CA
Practice address
114 Birch St
Redwood City, CA 94062-1398
Phone
(650) 363-8525
Fax
(650) 363-8556
NPI assigned
Feb 28, 2013
Last updated
Feb 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31374 CA Primary

Addresses

Primary practice location

114 Birch St
Redwood City, CA 94062-1398

Mailing address

114 Birch St
Redwood City, CA 94062-1398
Phone (650) 363-8525

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160620001366 CA Order and Referring Only - DentistPractitioner - Dentist 3678864816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1679813513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BIRCH ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621398",
            "telephone_number": "650-363-8525",
            "fax_number": "650-363-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BIRCH ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621398",
            "telephone_number": "650-363-8525",
            "fax_number": "650-363-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADAKIAN",
        "first_name": "ALBERT",
        "middle_name": "HAGOP",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.