Active NPI
Thomas A Sarna, D.D.S
- Oral and Maxillofacial Surgery (Dentist)
- Fayetteville, AR
National Provider Identifier
1356561344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4013
- Practice address
- 2025 N Green Acres Rd
Fayetteville, AR 72703-2619 - Phone
- (479) 202-8666
- Fax
- (844) 315-4115
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 019-027004 | IL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4013 | AR | Primary |
Addresses
Primary practice location
2025 N Green Acres Rd
Fayetteville, AR 72703-2619
Mailing address
2025 N Green Acres Rd
Fayetteville, AR 72703-2619
Phone (479) 202-8666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206251679 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|---|
| I20170412001159 | AR | Order and Referring Only - Oral Surgery | 9739359910 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4013 | AR | MD | Oral and Maxillofacial Surgery (Dentist) |
| 019-027004 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland Oral Surgery and Implant Centers, LTD | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Interoperability endpoints
- msarna23137@washingtonregional.direct-ci.com
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Oak Lawn, IL
- NPI 1669480851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1356561344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 N GREEN ACRES RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032619",
"telephone_number": "479-202-8666",
"fax_number": "844-315-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 N GREEN ACRES RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032619",
"telephone_number": "479-202-8666",
"fax_number": "844-315-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARNA",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "019-027004",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "AR",
"license": "4013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206251679",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.