NPIMap

Organization Active NPI

Thomas a. Sarna, DDS PLLC

Doing business as Half Moon Oral Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1508223827
Registry record updated Jan 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
85 Issued in AR
Legal business name
THOMAS A. SARNA, DDS PLLC
Doing business as
Half Moon Oral Surgery
Practice address
2025 N Green Acres Rd
Fayetteville, AR 72703-2619
Phone
(479) 202-8666
Fax
(844) 315-4115
NPI assigned
Jan 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2016

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

Authorized official

Name
Dr. Thomas Arthur Sarna, DDS
Title
Oral and Maxillofacial Surgeon
Phone
(479) 202-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 85 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

IdentifierTypeStateIssuer
206251679MedicaidAR

Other names 1

  • Half Moon Oral Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Half Moon Oral Surgery7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2025 N Green Acres Rd
Fayetteville, AR 72703
Phone (479) 202-8666

NPI Registry JSON

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452902400000",
    "number": "1508223827",
    "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": {
        "organization_name": "THOMAS A. SARNA, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-16",
        "last_updated": "2016-01-16",
        "status": "A",
        "authorized_official_last_name": "SARNA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "479-202-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "85",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206251679",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Half Moon Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 2016; 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.