Individual provider Active NPI

Sara Bukhari, DDS

  • Pediatric Dentistry
  • Phoenix, AZ
National Provider Identifier
1144238148
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D8487 Issued in AZ
Practice address
4731 E Union Hills Dr
Suite 108
Phoenix, AZ 85050-3310
Phone
(480) 389-4215
Fax
(480) 383-6199
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D8487 AZ Primary

Addresses

Primary practice location

4731 E Union Hills Dr
Suite 108
Phoenix, AZ 85050-3310

Mailing address

4731 E Union Hills Dr
Suite 108
Phoenix, AZ 85050-3310
Phone (480) 389-4215

Other identifiers 1

IdentifierTypeStateIssuer
02411934MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D8487AZMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Pediatric Dentistry Dentist CurrentSince Jun 23, 2024 Accepting new patients

Locations

4731 E Union Hills Dr
Ste 108
Phoenix, AZ 85050
Phone (480) 389-4215

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1144238148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 E UNION HILLS DR",
            "address_2": "SUITE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503310",
            "telephone_number": "480-389-4215",
            "fax_number": "480-383-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 E UNION HILLS DR",
            "address_2": "SUITE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503310",
            "telephone_number": "480-389-4215",
            "fax_number": "480-383-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKHARI",
        "first_name": "SARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D8487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02411934",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.