HEDAYATI KOO ADC
NPI 1215008925
Dentist - General Practice in San Jose, CA

Active since November 13, 2006
827 BLOSSOM HILL RD STE E8, SAN JOSE, CA 95123(408) 578-4700(408) 578-5730 Get Directions Write a Review

NPPES record last updated: February 13, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hedayati Koo Adc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEDAYATI KOO ADC (NPI 1215008925) is a healthcare organization registered as a general practice in San Jose, California and active in the NPI registry since November 2006. The organization lists Shirin Hedayati, Dentist, as its authorized official.

NPPES Registry Identity

NPI1215008925
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHEDAYATI KOO ADC
Location Address827 BLOSSOM HILL RD STE E8San Jose, CA 95123-2701
Mailing Address827 Blossom Hill Rd Ste E8San Jose, CA 95123-2701 · (408) 578-4700 · Fax (408) 578-5730
Fax(408) 578-5730
Organization SubpartNo
Authorized OfficialShirin HedayatiDentist · (408) 578-4700
Enumeration DateNovember 13, 2006
Last NPPES UpdateFebruary 13, 2015
NPI 1215008925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 36376
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

827 BLOSSOM HILL RD STE E8, San Jose, CA 95123

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215008925, enumerated as an "organization" on November 13, 2006.

The provider is located at 827 BLOSSOM HILL RD STE E8 SAN JOSE, CA 95123 and the phone number is (408) 578-4700.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.