Individual provider Active NPI

Saba Rizvi, D.M.D.

  • General Practice Dentistry
  • Plantation, FL
National Provider Identifier
1174703300
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15321 Issued in FL
Practice address
11941 W Sunrise Blvd
Plantation, FL 33323
Phone
(954) 578-6869
Fax
(954) 578-6871
NPI assigned
Nov 5, 2007
Last updated
Aug 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN15321 FL Primary

Addresses

Primary practice location

11941 W Sunrise Blvd
Plantation, FL 33323

Mailing address

11941 W Sunrise Blvd
Plantation, FL 33323-2224
Phone (954) 578-6869

Other practice location 1

8278 Sunset Strip
Sunrise, FL 33322-3817
Phone (954) 578-6869

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
DN15321FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dental Center of West Broward Current Accepting new patients
Affordable Dental Center of West Broward CurrentSince Dec 8, 2024 Accepting new patients

Locations

11941 W Sunrise Blvd
Plantation, FL 33323
Phone (954) 578-6869

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": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1174703300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11941 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232224",
            "telephone_number": "954-578-6869",
            "fax_number": "954-578-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11941 W SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-578-6869",
            "fax_number": "954-578-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8278 Sunset Strip",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333223817",
            "country_code": "US",
            "telephone_number": "954-578-6869",
            "fax_number": "954-578-6871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZVI",
        "first_name": "SABA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.