Active NPI
Samer Dar, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- Houston, TX
National Provider Identifier
1477539435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 21280
- Practice address
- 902 Frostwood Dr
Suite 227
Houston, TX 77024-2420 - Phone
- (713) 464-2792
- Fax
- (713) 464-4541
- NPI assigned
- Dec 21, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 053285 | NY | |
| Dentist | 122300000X | 21280 | TX | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 21280 | TX | Primary |
Addresses
Primary practice location
902 Frostwood Dr
Suite 227
Houston, TX 77024-2420
Mailing address
17107 Lapeer CT
Spring, TX 77379-3520
Phone (281) 376-2183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009327 | Other | CT | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20171026002066 | TX | Order and Referring Only - Oral Surgery | 6608142203 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053285 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1477539435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17107 LAPEER CT",
"city": "SPRING",
"state": "TX",
"postal_code": "773793520",
"telephone_number": "281-376-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 FROSTWOOD DR",
"address_2": "SUITE 227",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242420",
"telephone_number": "713-464-2792",
"fax_number": "713-464-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAR",
"first_name": "SAMER",
"name_prefix": "Dr.",
"credential": "DDS, MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "053285",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21280",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TX",
"license": "21280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "009327",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.