Individual provider Active NPI

Sahar Marie Ullery, D.D.S.

  • General Practice Dentistry
  • Centerville, OH
National Provider Identifier
1285046243
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.024230 Issued in OH
Practice address
7234 Far Hills Ave Ste a
Centerville, OH 45459-4207
Phone
(937) 886-4234
Fax
(937) 886-4235
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024230 OH
General Practice Dentistry 1223G0001X 30.024230 OH Primary

Addresses

Primary practice location

7234 Far Hills Ave Ste a
Centerville, OH 45459-4207

Mailing address

7234 Far Hills Ave
Centerville, OH 45459-4207
Phone (937) 886-4234

Other names 1

  • Sahar Marie Parvani Former name

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

LicenseStateTypeSpecialty
30.024230OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
M Alexandrunas D Hudoba Dental 1 Inc PastSince Sep 1, 2021 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1285046243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7234 FAR HILLS AVE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594207",
            "telephone_number": "937-886-4234",
            "fax_number": "937-886-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7234 FAR HILLS AVE STE A",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594207",
            "telephone_number": "937-886-4234",
            "fax_number": "937-886-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLERY",
        "first_name": "SAHAR",
        "middle_name": "MARIE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024230",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAHAR",
            "last_name": "PARVANI",
            "middle_name": "MARIE",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.