Active NPI
Sepideh Sajadi, DMD
- Endodontics
- Fort Lauderdale, FL
National Provider Identifier
1922626787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN25163
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.033568 | IL | MD | Dentist |
| DN25163 | FL | MD | General 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.