Sassan Dadseresht, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41072 Issued in CA

Practice address

29645 Rancho California Rd Ste 126
Temecula, CA 92591-5211

Phone

(702) 312-8710

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sasan Dadseresht Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dadseresht DDS Inc

  • General Practice Dentistry
  • Temecula, CA
  • NPI 1558891481
  NPD Authorized official
• Radiant Dental 1

  • Preferred Provider Organization
  • Las Vegas, NV
  • NPI 1225218951
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861613002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD.",
            "address_2": "SUITE 126",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-676-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29645 RANCHO CALIFORNIA RD STE 126",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915211",
            "telephone_number": "702-312-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7469 W. Lake Mead Blvd",
            "address_2": "Suite 270",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "89128",
            "country_code": "US",
            "telephone_number": "702-312-8710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADSERESHT",
        "first_name": "SASSAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3483",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASAN",
            "last_name": "DADSERESHT",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Percy Cutts, D.D.S
• Christelle Joyce D'Sa
• Kali Dabbo, M.ED., CCC-SP23243
• Darien Elaine Dabe, LMFT
• Dadseresht DDS Inc
• Deanna Dafflitto
• Raylene Dagan
• Talia Akimi Dahlberg
• Angela Kaye Dale, RN CLC
• Jeanne Dalglish, PSY.D.

• General Practice Dentistry in Temecula, CA
• Providers in Temecula, 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 Jul 21, 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.