Active NPI
Tara Sarfraz, D.D.S.
- Dentist
- Troy, NY
National Provider Identifier
1275624421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 052949
- Practice address
- 404 McChesney Ave Ext
Apt #26-5
Troy, NY 12180-8838 - Phone
- (716) 462-3333
- NPI assigned
- Sep 27, 2006
- 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 | 052949 | NY | Primary |
Addresses
Primary practice location
404 McChesney Ave Ext
Apt #26-5
Troy, NY 12180-8838
Mailing address
404 McChesney Ave Ext
Apt #26-5
Troy, NY 12180-8838
Phone (716) 462-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20160510000341 | NY | Order and Referring Only - Other (Physician) | 7012206311 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052949 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1275624421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 MCCHESNEY AVE EXT",
"address_2": "APT #26-5",
"city": "TROY",
"state": "NY",
"postal_code": "121808838",
"telephone_number": "716-462-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 MCCHESNEY AVE EXT",
"address_2": "APT #26-5",
"city": "TROY",
"state": "NY",
"postal_code": "121808838",
"telephone_number": "716-462-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARFRAZ",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "052949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.