Tarek Hakam Safadi, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019028274 Issued in IL

Practice address

8159 E 109TH Ave
Crown Point, IN 46307-8613

Phone

(219) 805-8545

NPI assigned

May 26, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1386963635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 REGENCY CT",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858072",
            "telephone_number": "219-805-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8159 E 109TH AVE",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078613",
            "telephone_number": "219-805-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFADI",
        "first_name": "TAREK",
        "middle_name": "HAKAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Russell, RBT
• Kelly Renee Rychter, D.O.
• Allyson Free Saary
• Tiffany Sabal
• Christine A Sackenheim, FNP
• Safeway Non Emergency Medical Transport LLC
• Boris Sagalovsky, M.D.
• Jessica Diane Sajdyk, NP
• Anastasios J Sakaleros
• Lisa Jennifer Saks-Knestrict, OD

• General Practice Dentistry in Crown Point, IN
• Providers in Crown Point, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.