Individual provider Active NPI

Sayeh Emily Massoumi, DDS

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1972795953
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
56124 Issued in CA
Practice address
3809 San Dimas St
Bakersfield, CA 93301-5726
Phone
(714) 623-9282
Fax
(661) 664-0928
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56124 CA Primary

Addresses

Primary practice location

3809 San Dimas St
Bakersfield, CA 93301-5726

Mailing address

3809 San Dimas St
Bakersfield, CA 93301-5726
Phone (714) 623-9282

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
56124CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Massoumi DDS Inc Current Accepting new patients

Locations

500 Old River Rd
Ste 225
Bakersfield, CA 93311
Phone (661) 663-0109

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1972795953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015726",
            "telephone_number": "714-623-9282",
            "fax_number": "661-664-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 SAN DIMAS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015726",
            "telephone_number": "714-623-9282",
            "fax_number": "661-664-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOUMI",
        "first_name": "SAYEH",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.