Organization Active NPI

Sayeh Massoumi,Dental Corporation

  • Dental Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1720559339
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Dec 7, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1972795953MedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.