Sara Saremi De Vincenzo, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

31253 Issued in TX

Practice address

1721 Cimarron TRL Ste 2
Hurst, TX 76054-3400

Phone

(817) 268-1112

Fax

(817) 510-6206

NPI assigned

Mar 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sara Saremi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• S&a Dental Partners PLLC

  • Dentist
  • Hurst, TX
  • NPI 1366072993
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1124489646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 HOOD ST APT 527",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194995",
            "telephone_number": "248-396-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 CIMARRON TRL STE 2",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543400",
            "telephone_number": "817-268-1112",
            "fax_number": "817-510-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VINCENZO",
        "first_name": "SARA",
        "middle_name": "SAREMI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31253",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SAREMI",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitney Davis, PT, DPT
• Debra Friedman Dayton, PHD
• Greg Dayton
• Steven E Dazey, D.M.D.
• Adrian De Vincenzo
• Decatur Family Dental PA
• John David Deeds, ATP
• Michael J Deitchman, MD
• Delgado Orthodontics P.a.
• Michael Jason Delgado, D.D.S., M.S.

• Dentist in Hurst, TX
• Providers in Hurst, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.