Active NPI
Pallavi Saraf
- Dentist
- Wilmington, NC
National Provider Identifier
1275009367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11158
- Practice address
- 3901 Oleander Dr Ste C
Wilmington, NC 28403-6712 - Phone
- (770) 815-9941
- NPI assigned
- Oct 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11158 | NC | Primary |
Addresses
Primary practice location
3901 Oleander Dr Ste C
Wilmington, NC 28403-6712
Mailing address
3901 Oleander Dr Ste C
Wilmington, NC 28403-6712
Phone (770) 815-9941
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231228001766 | NC | Order and Referring Only - Dentist | 4587035506 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11158 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pallavi Saraf, D.M.D., PLLC | Dentist | Current | Accepting new patients |
Locations
3901 Oleander Dr
Ste D
Wilmington, NC 28403
3901 Oleander Dr
Ste C
Wilmington, NC 28403
Phone (770) 815-9941
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1275009367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 OLEANDER DR STE C",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036712",
"telephone_number": "770-815-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 OLEANDER DR STE C",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036712",
"telephone_number": "770-815-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARAF",
"first_name": "PALLAVI",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.