Individual provider Active NPI

Sepideh Sajadi, DMD

  • Endodontics
  • Fort Lauderdale, FL
National Provider Identifier
1922626787
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN25163 Issued in FL
Practice address
555 NE 8TH St Apt 1802
Fort Lauderdale, FL 33304-2998
Phone
(917) 900-8787
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN25163 FL
Endodontics 1223E0200X DN25163 FL Primary
Dentist 122300000X 019.033568 IL
Dentist 122300000X DN25163 FL

Addresses

Primary practice location

555 NE 8TH St Apt 1802
Fort Lauderdale, FL 33304-2998

Mailing address

555 NE 8TH St Apt 1802
Fort Lauderdale, FL 33304-2998
Phone (917) 900-8787

Other practice location 1

801 S Paulina St
Chicago, IL 60612-7210
Phone (312) 996-7555

Other practice location 2

255 SW 11th St Apt 614
Miami, FL 33130-4185
Phone (917) 900-8787

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
019.033568ILMDDentist
DN25163FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1922626787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 NE 8TH ST APT 1802",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042998",
            "telephone_number": "917-900-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 NE 8TH ST APT 1802",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042998",
            "telephone_number": "917-900-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Paulina St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127210",
            "country_code": "US",
            "telephone_number": "312-996-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 SW 11th St Apt 614",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331304185",
            "country_code": "US",
            "telephone_number": "917-900-8787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAJADI",
        "first_name": "SEPIDEH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25163",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN25163",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033568",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.