Organization Active NPI

Sattout and Alaswad Dental Corp.

Doing business as none

  • General Practice Dentistry
  • Orangevale, CA
National Provider Identifier
1932561453
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63154 Issued in CA
Legal business name
SATTOUT AND ALASWAD DENTAL CORP.
Doing business as
none
Practice address
8851 Greenback LN
Orangevale, CA 95662-4058
Phone
(916) 988-5559
Fax
(916) 988-5936
NPI assigned
Mar 23, 2016
Last updated
Mar 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Dr. Omar Sattout, DDSNPI 1639500242
Title
President
Phone
(909) 248-8417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 63154 CA Primary

Addresses

Primary practice location

8851 Greenback LN
Orangevale, CA 95662-4058

Mailing address

740 W Kettleman LN
Lodi, CA 95240-6051

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

Locations

740 W Kettleman Ln
Lodi, CA 95240
Phone (209) 808-5439

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1932561453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 W KETTLEMAN LN",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 GREENBACK LN",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624058",
            "telephone_number": "916-988-5559",
            "fax_number": "916-988-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATTOUT AND ALASWAD DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "SATTOUT",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-248-8417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orangevale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.