Mansoor Safder, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

61655 Issued in KS

Practice address

15834 Shawnee Mission Pkwy
Shawnee, KS 66217-9326

Phone

(913) 631-0866

NPI assigned

Jul 21, 2020

Last updated

Sep 5, 2023By 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 KS

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Safder Endodontics LLC

  • Endodontics
  • Prairie Village, KS
  • NPI 1790553360
  NPD Authorized official
• Safder Olathe Endodontics, LLC

  • Endodontics
  • Olathe, KS
  • NPI 1831054204
  NPD Authorized official
• Shawnee Dental Group, PA

  dba Shawnee Modern Dentistry

  • General Practice Dentistry
  • Shawnee, KS
  • NPI 1871987545
  NPD (past)

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1144838590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14305 CONNELL ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662217557",
            "telephone_number": "913-206-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15834 SHAWNEE MISSION PKWY",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179326",
            "telephone_number": "913-631-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFDER",
        "first_name": "MANSOOR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61655",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "KS",
            "license": "61655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Russell, M.S., CCC-SLP
• Jessica Russo
• Felicia Marie Ryder
• Leigh M. Rysko, M.T.
• Jaclynn Saathoff
• Saleaumua Inc (Medicine Shoppe)
• Debra Sandler, BCBA LBA
• Michael Santos, DC
• Felissa Sarabia
• Sarina Harman-Tinnel, DDS, LLC

• Endodontics in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Endodontics in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.