Kambiz Kevin Sadraei, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30895 Issued in TX

Practice address

1320 N Zaragoza Rd
Unit 110
El Paso, TX 79936-7929

Phone

(915) 262-4640

NPI assigned

Apr 1, 2015

Last updated

Aug 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1720473226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N ZARAGOZA RD STE 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367930",
            "telephone_number": "915-262-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N ZARAGOZA RD",
            "address_2": "UNIT 110",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367929",
            "telephone_number": "915-262-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADRAEI",
        "first_name": "KAMBIZ",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2016-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jency Cynthia Sachidanandam, MD
• Dawn Anna Sackett
• Sacred Faith Home Care
• Sacred Faith Home Care
• Negar Sadeghein
• Rodrigo Jose Saenz Alvarado, M.D.
• Humberto Raul Saenz Chavez, MD
• Maribel Saenz Hernandez
• Adan Alberto Saenz, COTA
• Alejandra Saenz, OT

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; 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.