Individual provider Active NPI

Sara Nikfar, DMD

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1316388101
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20790 Issued in FL
Practice address
1650 Sand Lake Rd Ste 106
Orlando, FL 32809-7671
Phone
(407) 900-2980
NPI assigned
Jul 10, 2013
Last updated
Nov 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN20790 FL Primary

Addresses

Primary practice location

1650 Sand Lake Rd Ste 106
Orlando, FL 32809-7671

Mailing address

12072 Maidenhair Way
Orlando, FL 32832-7914

Other practice location 1

6161 Winegard Rd
Orlando, FL 32809-4977
Phone (407) 749-0113

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
DN20790FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Hygiene Center LLC General Practice Past Accepting new patients
Pediatric and Family Dental Group LLC Past Accepting new patients
Nikfar Family Dental Past Accepting new patients

Organizations & group practices 3

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1316388101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12072 MAIDENHAIR WAY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SAND LAKE RD STE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097671",
            "telephone_number": "407-900-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6161 Winegard Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328094977",
            "country_code": "US",
            "telephone_number": "407-749-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKFAR",
        "first_name": "SARA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.