Sarah Golshan Davey, DDS

Individual provider Active NPI General Practice Dentistry · Escondido, CA

NPI 1700224003 · NPPES record last updated Nov 3, 2022

Key facts

NPI
1700224003
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
64367 (CA)
Practice address
457 E. Grand Ave
Suite #4
Escondido, CA 92025
Phone
(760) 747-7878
Fax
(760) 747-2156
NPI assigned
Jun 7, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
64367CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles U. Basso DDS Inc General Practice Current
since Nov 6, 2022
Accepting new patients
Leslie K Bonar DDS Apc & Charles U Basso DDS Apc PTR General Practice Past
since Nov 6, 2022
Accepting new patients

Locations

457 E Grand Ave
Ste 4
Escondido, CA 92025
Phone (760) 747-7878

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
General Practice Dentistry 1223G0001X 64367 CA Yes

Addresses

Primary practice location

457 E. Grand Ave
Suite #4
Escondido, CA 92025

Mailing address

14627 Via Bettona
San Diego, CA 92127
Phone (858) 243-9444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 3, 2022.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1700224003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14627 VIA BETTONA",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92127",
            "telephone_number": "858-243-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 E. GRAND AVE",
            "address_2": "SUITE #4",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-747-7878",
            "fax_number": "760-747-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVEY",
        "first_name": "SARAH",
        "middle_name": "GOLSHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

All providers in Escondido, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.