Individual provider Active NPI

Sepideh Jannati Ataei, DMD DDS

  • General Practice Dentistry
  • San Ramon, CA
National Provider Identifier
1881895332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45639 Issued in CA
Practice address
1501 Bollinger Canyon Rd
# B
San Ramon, CA 94583
Phone
(925) 820-0303
NPI assigned
May 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45639 CA Primary

Addresses

Primary practice location

1501 Bollinger Canyon Rd
# B
San Ramon, CA 94583

Mailing address

600 Danhill Drive
Danville, CA 94550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45639CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roya Mahmoodi DDS, Inc PastSince Dec 9, 2019 Accepting new patients
Dr Mahmoud H Ashrafi D.M.D. M.S General Practice Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881895332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DANHILL DRIVE",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "94550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BOLLINGER CANYON RD",
            "address_2": "# B",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "94583",
            "telephone_number": "925-820-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATAEI",
        "first_name": "SEPIDEH",
        "middle_name": "JANNATI",
        "name_prefix": "Dr.",
        "credential": "DMD DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.