Organization Active NPI

Sean Hakimi DDS a Professional Corporation

Doing business as Brite Specialty Grup

  • Dentist
  • Petaluma, CA
National Provider Identifier
1841635158
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SEAN HAKIMI DDS A PROFESSIONAL CORPORATION
Doing business as
Brite Specialty Grup
Practice address
47 Maria Dr Ste 813
Petaluma, CA 94954-3566
Phone
(707) 763-3203
NPI assigned
May 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Hilda Lotfi
Title
Office Manager
Phone
(818) 458-9550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

47 Maria Dr Ste 813
Petaluma, CA 94954-3566

Mailing address

47 Maria Dr Ste 813
Petaluma, CA 94954-3566
Phone (707) 763-3203

Other names 1

  • Brite Specialty Grup Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brite Specialty Group4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

47 Maria Dr
Ste 813
Petaluma, CA 94954
Phone (707) 763-3203

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1841635158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MARIA DR STE 813",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543566",
            "telephone_number": "707-763-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MARIA DR STE 813",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543566",
            "telephone_number": "707-763-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN HAKIMI DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "LOTFI",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-458-9550"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brite Specialty Grup",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.