Active NPI
Fardin Zare, DDS
- General Practice Dentistry
- Tampa, FL
National Provider Identifier
1467564088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN14694
- Practice address
- 8709 Hunters Green Dr
Suite 102
Tampa, FL 33647-2309 - Phone
- (813) 991-1088
- Fax
- (813) 991-4817
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN14694 | FL | Primary |
Addresses
Primary practice location
8709 Hunters Green Dr
Suite 102
Tampa, FL 33647-2309
Mailing address
8709 Hunters Green Dr
Suite 102
Tampa, FL 33647-2309
Phone (813) 991-1088
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1803562 | Other | FL | UNITED CONCORDIA |
| 56949 | Other | FL | BLUE CROSS / BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20170419000257 | FL | Order and Referring Only - Oral Surgery | 6507142932 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Dentistry of New Tampa | General Practice | Past | 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.
-
- General Practice Dentistry
- Tampa, FL
- NPI 1710099353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467564088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8709 HUNTERS GREEN DR",
"address_2": "SUITE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472309",
"telephone_number": "813-991-1088",
"fax_number": "813-991-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8709 HUNTERS GREEN DR",
"address_2": "SUITE 102",
"city": "TAMPA",
"state": "FL",
"postal_code": "336472309",
"telephone_number": "813-991-1088",
"fax_number": "813-991-4817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARE",
"first_name": "FARDIN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN14694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1803562",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS / BLUE SHIELD",
"identifier": "56949",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.