Ashkan Fahandej Saadi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010174 Issued in CT

Practice address

125 South St Apt 300
Vernon, CT 06066-4441

Phone

(860) 816-2468

Fax

(860) 816-2468

NPI assigned

Jun 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashkan Saadi Professional name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1770711707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SOUTH ST APT 300",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664441",
            "telephone_number": "860-816-2468",
            "fax_number": "860-816-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SOUTH ST APT 300",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664441",
            "telephone_number": "860-816-2468",
            "fax_number": "860-816-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHANDEJ SAADI",
        "first_name": "ASHKAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHKAN",
            "last_name": "SAADI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• General Practice Dentistry in Vernon, CT
• Providers in Vernon, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.