Dean Nadeem Ahmad, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

52964 Issued in CA

Practice address

580 N Sunrise Ave Ste 190
Roseville, CA 95661-3035

Phone

(916) 770-9034

Fax

(916) 772-0133

NPI assigned

Jan 25, 2007

Last updated

Jun 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nadeem Ahmad Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Dean N. Ahmad DDS Inc.

  dba Innova Periodontics & Implant Dentistry

  • Dental Clinic/Center
  • Roseville, CA
  • NPI 1245891829
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1902951064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2049 CULVERHILL WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957478805",
            "telephone_number": "916-770-9034",
            "fax_number": "916-434-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N SUNRISE AVE STE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613035",
            "telephone_number": "916-770-9034",
            "fax_number": "916-772-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "DEAN",
        "middle_name": "NADEEM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "52964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADEEM",
            "last_name": "AHMAD",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Jason Aguilar
• Rena M Aguilar
• Alexis Aguirre, CF-SLP
• Janet Aguirre
• Pedro Gabriel Aguirre, DNP
• Najeh M. Ahmad, MD
• Pejman Ahmadi
• Ali Ahmed, M.D.
• Amna Ahmed, DDS
• Faisal Ahmed, MD

• Periodontics in Roseville, CA
• Providers in Roseville, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.