Sahar Petros, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D008873 Issued in AZ

Practice address

4330 W. Union Hills
Suite #B18
Glendale, AZ 85308

Phone

(623) 582-6666

Fax

(623) 582-6665

NPI assigned

Jan 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• Shamy Dental Inc

  dba A Gentle Smile Dental Center

  • Dentist
  • Glendale, AZ
  • NPI 1982994158
  NPD (past)

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1154710556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 W. UNION HILLS",
            "address_2": "SUITE #B18",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-582-6666",
            "fax_number": "623-582-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 W. UNION HILLS",
            "address_2": "SUITE #B18",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-582-6666",
            "fax_number": "623-582-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROS",
        "first_name": "SAHAR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semas C Peterson
• Wayne Peterson, R.PH.
• Petkov Bodywork Therapy, LLC
• Rumen Antoniev Petkov, OT
• Deborah Petri, LPC
• Victoria Joan Petti, P.T.
• Bobby J Pettit
• Ty Pfau, DO
• Laurie Pfeiffer, LPC
• Cindy Huong Thu Pham, D.M.D.

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.