Alireza Sadre-Nassiri, D.M.D.
NPI 1740544303 · Pediatric Dentistry · Lakeport, CA
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alireza Sadre-Nassiri, D.M.D. is a Pediatric Dentistry provider in Lakeport, CA (NPI 1740544303).
Provider details
- NPI number
- 1740544303
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 056780 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 14440 Olympic DrClearlake, CA 95422-8809Phone: (707) 263-8382Fax: (707) 461-5102
- 6003 100th St SwLakewood, WA 98499-2733Phone: (425) 466-0595
Registry dates
- Enumerated
- 2012-06-28
- Last updated
- 2025-08-01
- Certified
- 2025-08-01
Frequently asked questions
- What is Alireza Sadre-Nassiri's NPI number?
- Alireza Sadre-Nassiri's National Provider Identifier (NPI) is 1740544303, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alireza Sadre-Nassiri's specialty?
- Alireza Sadre-Nassiri is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Alireza Sadre-Nassiri located?
- Alireza Sadre-Nassiri's practice location on file with NPPES is 925 Bevins Ct, Lakeport, CA 95453-9754.
- What is Alireza Sadre-Nassiri's phone number?
- The practice phone number listed in the NPPES registry for Alireza Sadre-Nassiri is (707) 263-8382.
- Does Alireza Sadre-Nassiri accept Medicare?
- Alireza Sadre-Nassiri is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alireza Sadre-Nassiri's NPI active?
- Yes — Alireza Sadre-Nassiri's NPI (1740544303) is active in the NPPES registry as of the last update on 2025-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.