Active NPI
Sara Hakim
- Dentist
- Reno, NV
National Provider Identifier
1194070987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6508
- Practice address
- 1101 W Moana LN
Reno, NV 89509-4775 - Phone
- (775) 825-5005
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS039252 | PA | |
| Dentist | 122300000X | 6508 | NV | Primary |
Addresses
Primary practice location
1101 W Moana LN
Reno, NV 89509-4775
Mailing address
3520 Painted Vista Dr
Reno, NV 89511-5392
Phone (415) 994-0503
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6508 | NV | MD | Dentist |
| DS039252 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1194070987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 PAINTED VISTA DR",
"city": "RENO",
"state": "NV",
"postal_code": "895115392",
"telephone_number": "415-994-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 W MOANA LN",
"city": "RENO",
"state": "NV",
"postal_code": "895094775",
"telephone_number": "775-825-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "SARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039252",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.