Al-Samarrai DMD Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AL-SAMARRAI DMD INC

Doing business as

Copper Canyon Dentistry

Practice address

28212 Kelly Johnson Pkwy Ste 220
Valencia, CA 91355-5090

Phone

(661) 775-8822

Fax

(661) 775-8311

NPI assigned

Aug 20, 2019

Last updated

Oct 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hakam Al-Samarrai, DMDNPI 1558671057

Title

President

Phone

(661) 775-8822

Specialties & licenses 2

Addresses

Other names 1

• Copper Canyon Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hakam Al-Samarrai, D.M.D.

  • General Practice Dentistry
  • Boston, MA
  • NPI 1558671057
  NPD Authorized official

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1851948327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 220",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555090",
            "telephone_number": "661-775-8822",
            "fax_number": "661-775-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 220",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555090",
            "telephone_number": "661-775-8822",
            "fax_number": "661-775-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL-SAMARRAI DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-20",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "AL-SAMARRAI",
        "authorized_official_first_name": "HAKAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-775-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Canyon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Copper Canyon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asma Mobin Ahmed, NP
• Christopher James Aho, M.D.
• Hiarpi Airapetyan
• Carol Aivazian, O.D.
• Dele A Akao, PHARM.D., BCPS
• Maria Fernanda Alba, BCBA
• Jon Scott Albert
• Justine Alberto
• Albertsons LLC (Sav-on Pharmacy #3301)
• Adriana Alcala

• General Practice Dentistry in Valencia, CA
• Providers in Valencia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.