Organization Active NPI

Beddawi, DDS

  • Endodontics
  • Mountain View, CA
National Provider Identifier
1861143497
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
BEDDAWI, DDS
Practice address
2204 Grant Rd Ste 202
Mountain View, CA 94040-3877
Phone
(650) 800-9414
Fax
(650) 800-9460
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Yarah Beddawi, DDSNPI 1740325679
Title
President
Phone
(650) 800-9414

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

2204 Grant Rd Ste 202
Mountain View, CA 94040-3877

Mailing address

2204 Grant Rd Ste 202
Mountain View, CA 94040-3877
Phone (650) 800-9414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1861143497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD STE 202",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403877",
            "telephone_number": "650-800-9414",
            "fax_number": "650-800-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD STE 202",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403877",
            "telephone_number": "650-800-9414",
            "fax_number": "650-800-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDDAWI, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "BEDDAWI",
        "authorized_official_first_name": "YARAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-800-9414",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.