Organization Active NPI

Fish and Sarhangian LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chandler, AZ
National Provider Identifier
1164019857
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
FISH AND SARHANGIAN LLC
Practice address
1200 W Warner Rd Ste 3
Chandler, AZ 85224-2758
Phone
(480) 726-6600
Fax
(480) 726-6611
NPI assigned
Dec 29, 2020
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Jennifer Heiken
Title
Administrative Assistant
Phone
(480) 726-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X Primary

Addresses

Primary practice location

1200 W Warner Rd Ste 3
Chandler, AZ 85224-2758

Mailing address

1200 W Warner Rd Ste 3
Chandler, AZ 85224-2758
Phone (480) 726-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210219001246 AZ Part B Supplier - Clinic/Group Practice 7214342443 Receives reassigned benefits from 2 practitioners
Practice locations: Chandler, AZ

National Provider Directory

National Provider Directory

Locations

1200 W Warner Rd
Bldg A
Chandler, AZ 85224

1200 W Warner Rd
Ste 3
Chandler, AZ 85224
Phone (480) 726-6600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1164019857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WARNER RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242758",
            "telephone_number": "480-726-6600",
            "fax_number": "480-726-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WARNER RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242758",
            "telephone_number": "480-726-6600",
            "fax_number": "480-726-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISH AND SARHANGIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "HEIKEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "480-726-6600"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.