Giovanni A Safdari, MD, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2008019427 Issued in MO

Practice address

1724 Nebraska Ave
USA Dentac
Ft Leonard Wood, MO 65473

Phone

(573) 596-0388

Fax

(573) 596-0410

NPI assigned

Jul 4, 2008

Last updated

Jul 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• IA HMO C-SNP
• IA HMO

Interoperability endpoints

• Direct secure messaging: giovanni.safdari.p1@direct.jordanvalley.nextgenshare.com
• Direct secure messaging: gsafdari694638@direct.ochin.org

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

• Advocates for a Healthy Community, Inc

  dba Jordan Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1558303057
  Medicare reassignment NPD
• Advocates for a Healthy Community Inc

  dba Jordan Valley Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Buffalo, MO
  • NPI 1750179610
  NPD

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

{
    "created_epoch": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1053574517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 NEBRASKA AVE",
            "address_2": "USA DENTAC",
            "city": "FT LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-0388",
            "fax_number": "573-596-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 NEBRASKA AVE",
            "address_2": "USA DENTAC",
            "city": "FT LEONARD WOOD",
            "state": "MO",
            "postal_code": "65473",
            "telephone_number": "573-596-0388",
            "fax_number": "573-596-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDARI",
        "first_name": "GIOVANNI",
        "middle_name": "A",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-04",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008019427",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "2008019427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristy Cay Rosencrans, RN,CCM,PLNC
• Elena A Rostapshova, MD
• Tabbatha Ann Runner, RN
• Shriya Ruparel
• Stephen Ken Russell, FNP-BC
• Robert Eric Sapp Sr., R.PH.
• Karry A Schubert, RPH
• Sean Eliot Scott, MD
• August Christopher Seeber, PA-C
• Jerry P Seiler, MD

• Oral and Maxillofacial Surgery (Dentist) in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.