NPIMap

Organization Active NPI

Farid Sadr, P.C.

  • Primary Care Clinic/Center
  • Council Bluffs, IA
National Provider Identifier
1184931230
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
34150 Issued in IA
Legal business name
FARID SADR, P.C.
Practice address
801 Harmony St Ste 202
Council Bluffs, IA 51503-3106
Phone
(712) 308-1563
Fax
(712) 388-2722
NPI assigned
Sep 10, 2010
Last updated
Oct 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Farid Sadr, M.D.
Title
President
Phone
(712) 308-1563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 34150 IA Primary

Addresses

Primary practice location

801 Harmony St Ste 202
Council Bluffs, IA 51503-3106

Mailing address

801 Harmony St Ste 202
Council Bluffs, IA 51503-3106
Phone (712) 308-1563

National Provider Directory

National Provider Directory

Locations

801 Harmony St
Ste 202
Council Bluffs, IA 51503
Phone (402) 308-1563

105 N 31st Ave
Ste 102
Omaha, NE 68131
Phone (402) 346-1111

Practitioners & affiliated clinicians

Practitioners 4

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": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1184931230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HARMONY ST STE 202",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033106",
            "telephone_number": "712-308-1563",
            "fax_number": "712-388-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HARMONY ST STE 202",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033106",
            "telephone_number": "712-308-1563",
            "fax_number": "712-388-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARID SADR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "SADR",
        "authorized_official_first_name": "FARID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-308-1563",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IA",
            "license": "34150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.