Organization Active NPI

Brentwood Hills Modern Dentistry, Prof. Corp.

  • General Practice Dentistry
  • Brentwood, CA
National Provider Identifier
1700710092
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRENTWOOD HILLS MODERN DENTISTRY, PROF. CORP.
Practice address
2440 Sand Creek Rd Ste E6
Brentwood, CA 94513-7242
Phone
(925) 718-7121
Fax
(925) 418-0053
NPI assigned
Jun 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Sahar Taha, DDS
Title
Owner
Phone
(925) 718-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2440 Sand Creek Rd Ste E6
Brentwood, CA 94513-7242

Mailing address

PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890

Other names 1

  • Brentwood Hills Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2440 Sand Creek Rd
Ste E6
Brentwood, CA 94513

NPI Registry JSON

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

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1700710092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SAND CREEK RD STE E6",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137242",
            "telephone_number": "925-718-7121",
            "fax_number": "925-418-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD HILLS MODERN DENTISTRY, PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "TAHA",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-718-7121",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood Hills Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.