Active NPI
Samir Nanjapa DDS, a Dental Corporation
- Dentist
- San Mateo, CA
National Provider Identifier
1730525650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SAMIR NANJAPA DDS, A DENTAL CORPORATION
- Practice address
- 1528 S El Camino Real Ste 408
San Mateo, CA 94402-3067 - Phone
- (650) 212-3500
- Fax
- (650) 212-3505
- NPI assigned
- May 19, 2013
- 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. Samir Nanjapa, DDS, MS
- Title
- President
- Phone
- (650) 212-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
1528 S El Camino Real Ste 408
San Mateo, CA 94402-3067
Mailing address
1528 S El Camino Real Ste 408
San Mateo, CA 94402-3067
Phone (415) 212-3500
Other names 1
- Deccan Dental
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250812001177 | CA | DME Supplier - Oral Surgery - Dentist | 6800394552 | Practice locations: San Mateo, CA |
National Provider Directory
National Provider DirectoryLocations
1528 S El Camino Real
Ste 408
San Mateo, CA 94402
Phone (650) 212-3500
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthodontics
- San Mateo, CA
- NPI 1558430207
-
- General Practice Dentistry
- San Mateo, CA
- NPI 1750023743
-
- General Practice Dentistry
- San Francisco, CA
- NPI 1205107364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1730525650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 S EL CAMINO REAL STE 408",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023067",
"telephone_number": "415-212-3500",
"fax_number": "650-212-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 S EL CAMINO REAL STE 408",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023067",
"telephone_number": "650-212-3500",
"fax_number": "650-212-3505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMIR NANJAPA DDS, A DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-19",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "NANJAPA",
"authorized_official_first_name": "SAMIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-212-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Deccan Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.