Nikta Ghaderi

Periodontics · Berkeley, CA

Individual Active NPI

NPI number 1235512625

Practice location

2999 Regent St # 501
Berkeley, CA 94705-2190
Phone
(408) 396-9323

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NPI record

NPI
1235512625
Entity type
Individual (Type 1)
Enumeration date
July 2, 2015
Last updated
October 24, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X DDS102556 CA

Mailing address

10880 Santa Teresa Dr
Cupertino, CA 95014-4725

Other practice locations (2)

  • 2730 SW Moody Ave, Portland, OR 97201-5042 · (503) 494-1352
  • 516 W Remington Dr Ste 5A, Sunnyvale, CA 94087-2458 · (408) 396-9323

About Nikta Ghaderi

Nikta Ghaderi is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 2999 Regent St # 501, Berkeley, CA 94705-2190. The NPI number 1235512625 was assigned on July 2, 2015 and the record was last updated on October 24, 2018.

Nikta Ghaderi lists a license in the registry: #DDS102556 (CA) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nikta Ghaderi?

The NPI number is 1235512625.

What is the phone number of Nikta Ghaderi?

The phone number listed for the practice location is (408) 396-9323.

Where is Nikta Ghaderi located?

2999 Regent St # 501, Berkeley, CA 94705-2190.

What is the taxonomy code for Nikta Ghaderi?

The primary taxonomy code is 1223P0300X – Periodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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