Organization Active NPI

Mehdi Salek DDS a Prof Dental Corp

  • Dentist
  • Benicia, CA
National Provider Identifier
1699162172
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60788 Issued in CA
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

Updated by the provider on Apr 22, 2015

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.