Organization Active NPI

Samir Nanjapa DDS, a Dental Corporation

  • Dentist
  • San Mateo, CA
National Provider Identifier
1730525650
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Dr. Samir Nanjapa, DDS, MSNPI 1558430207
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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250812001177 CA DME Supplier - Oral Surgery - Dentist 6800394552 Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.