NPIMap

Organization Active NPI

Dental Group of Hesperia

  • Dentist
  • Hesperia, CA
National Provider Identifier
1710178082
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39643 Issued in CA
Legal business name
DENTAL GROUP OF HESPERIA
Practice address
15776 Main St
Ste 18
Hesperia, CA 92345-3461
Phone
(760) 949-8484
Fax
(760) 949-3122
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Sean Sohail Hakimi, D.D.S.
Title
Owner
Phone
(661) 255-3130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 39643 CA Primary

Addresses

Primary practice location

15776 Main St
Ste 18
Hesperia, CA 92345-3461

Mailing address

PO Box 55368
Valencia, CA 91385-0368
Phone (661) 255-3130

National Provider Directory

National Provider Directory
Tax ID family
Brite Specialty Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15776 Main St
Ste 18
Hesperia, CA 92345
Phone (760) 949-8484

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1710178082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55368",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913850368",
            "telephone_number": "661-255-3130",
            "fax_number": "661-451-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15776 MAIN ST",
            "address_2": "STE 18",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453461",
            "telephone_number": "760-949-8484",
            "fax_number": "760-949-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF HESPERIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "HAKIMI",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "SOHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-255-3130",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.