Organization Active NPI

Saman Deljoui, DMD, Inc.

  • Endodontics
  • Santa Cruz, CA
National Provider Identifier
1922508985
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
58636 Issued in CA
Legal business name
SAMAN DELJOUI, DMD, INC.
Practice address
1779 Dominican Way
Santa Cruz, CA 95065-1526
Phone
(831) 475-2833
NPI assigned
Feb 16, 2018
Organization subpart
Yes
Parent organization
SANTA CRUZ ENDODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Dr. Saman DeljouiNPI 1851522866
Title
President
Phone
(831) 475-2833

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 58636 CA Primary

Addresses

Primary practice location

1779 Dominican Way
Santa Cruz, CA 95065-1526

Mailing address

1779 Dominican Way
Santa Cruz, CA 95065-1526
Phone (831) 475-2833

Other names 1

  • Santa Cruz Endodontics Doing business as

National Provider Directory

National Provider Directory
Part of
Saman Deljoui DMD Inc

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": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1922508985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651526",
            "telephone_number": "831-475-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651526",
            "telephone_number": "831-475-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMAN DELJOUI, DMD, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA CRUZ ENDODONTICS",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "DELJOUI",
        "authorized_official_first_name": "SAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-475-2833",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "58636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.