Individual provider Active NPI

Samira Samini, DDS

  • Periodontics
  • Newport Beach, CA
National Provider Identifier
1720353626
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
45872 Issued in CA
Practice address
601 Dover Dr Ste 5
Newport Beach, CA 92663-5721
Phone
(949) 548-0966
Fax
(949) 548-9796
NPI assigned
Mar 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 45872 CA Primary

Addresses

Primary practice location

601 Dover Dr Ste 5
Newport Beach, CA 92663-5721

Mailing address

22896 Hunter CRK
Mission Viejo, CA 92692-4744
Phone (949) 370-8959

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

State licenses

LicenseStateTypeSpecialty
45872CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Katayoun Sahafi DDS Professional Corp 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": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1720353626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22896 HUNTER CRK",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924744",
            "telephone_number": "949-370-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DOVER DR STE 5",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635721",
            "telephone_number": "949-548-0966",
            "fax_number": "949-548-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMINI",
        "first_name": "SAMIRA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "45872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.