Active NPI
Sayeh Massoumi,Dental Corporation
- Dental Clinic/Center
- Bakersfield, CA
National Provider Identifier
1720559339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- SAYEH MASSOUMI,DENTAL CORPORATION
- Practice address
- 1010 Calloway Dr Ste 200B
Bakersfield, CA 93312-6391 - Phone
- (714) 623-9282
- NPI assigned
- Dec 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sayeh Emily Massoumi, DDS
- Title
- President/Officer
- Phone
- (714) 623-9282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1010 Calloway Dr Ste 200B
Bakersfield, CA 93312-6391
Mailing address
11113 Rockridge Way
Bakersfield, CA 93311-3564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972795953 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544140800000",
"number": "1720559339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11113 ROCKRIDGE WAY",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933113564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CALLOWAY DR STE 200B",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933126391",
"telephone_number": "714-623-9282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAYEH MASSOUMI,DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-07",
"last_updated": "2018-12-07",
"status": "A",
"authorized_official_last_name": "MASSOUMI",
"authorized_official_first_name": "SAYEH",
"authorized_official_middle_name": "EMILY",
"authorized_official_title_or_position": "PRESIDENT/OFFICER",
"authorized_official_telephone_number": "714-623-9282",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972795953",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.