Individual provider Active NPI

Manar Sawaf, DDS

  • General Practice Dentistry
  • Turlock, CA
National Provider Identifier
1255103685
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109628 Issued in CA
Practice address
2808 W Monte Vista Ave
Turlock, CA 95380-8409
Phone
(209) 667-2879
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 109628 CA Primary

Addresses

Primary practice location

2808 W Monte Vista Ave
Turlock, CA 95380-8409

Mailing address

1119 Stone Pine LN Unit E
Corona, CA 92879-7537
Phone (951) 427-2257

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240523003848 CA Order and Referring Only - DentistPractitioner - Dentist 8527400373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109628CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Turlock Smiles Dentistry Dental Group General Practice PastSince Nov 5, 2023 Accepting new patients

Organizations & group practices 1

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1255103685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 STONE PINE LN UNIT E",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928797537",
            "telephone_number": "951-427-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 W MONTE VISTA AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953808409",
            "telephone_number": "209-667-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWAF",
        "first_name": "MANAR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.