Individual provider Active NPI

Niloofar Zarkesh, DDS, MS

  • Periodontics
  • San Jose, CA
National Provider Identifier
1700976149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
43676 Issued in CA
Practice address
100 Oconnor Dr Ste 10
San Jose, CA 95128-1638
Phone
(408) 998-8008
Fax
(408) 998-9009
NPI assigned
Oct 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 43676 CA Primary

Addresses

Primary practice location

100 Oconnor Dr Ste 10
San Jose, CA 95128-1638

Mailing address

100 Oconnor Dr Ste 10
San Jose, CA 95128-1638
Phone (408) 998-8008

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
43676CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Niloofar Zarkesh, DDS, Ms, Inc. Periodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700976149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281638",
            "telephone_number": "408-998-8008",
            "fax_number": "408-998-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OCONNOR DR STE 10",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281638",
            "telephone_number": "408-998-8008",
            "fax_number": "408-998-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARKESH",
        "first_name": "NILOOFAR",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "43676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.