Active NPI
Mehdi Salek DDS a Prof Dental Corp
- Dentist
- Benicia, CA
National Provider Identifier
1699162172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60788
- Legal business name
- MEHDI SALEK DDS A PROF DENTAL CORP
- Practice address
- 300 Military W Ste 304
Benicia, CA 94510-3037 - Phone
- (408) 781-1363
- NPI assigned
- Apr 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mehdi Salek
- Title
- DDS
- Phone
- (408) 781-1363
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60788 | CA | Primary |
Addresses
Primary practice location
300 Military W Ste 304
Benicia, CA 94510-3037
Mailing address
300 Military W. Suit #304
Benicia, CA 94105
National Provider Directory
National Provider DirectoryLocations
300 Military W
Ste 304
Benicia, CA 94510
Phone (408) 781-1363
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Santa Rosa, CA
- NPI 1215215041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429660800000",
"number": "1699162172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MILITARY W. SUIT #304",
"city": "BENICIA",
"state": "CA",
"postal_code": "94105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MILITARY W STE 304",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103037",
"telephone_number": "408-781-1363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEHDI SALEK DDS A PROF DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A",
"authorized_official_last_name": "SALEK",
"authorized_official_first_name": "MEHDI",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "408-781-1363"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "60788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.