Active NPI
Sarah Marie Nazeri, DDS
- Dentist
- Alamosa, CO
National Provider Identifier
1528290186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9942
- Practice address
- 100 Edison Ave
Alamosa, CO 81101-2589 - Phone
- (719) 589-4946
- NPI assigned
- Aug 17, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 9942 | CO | Primary |
| Dentist | 122300000X | 107061 | AK | |
| Dentist | 122300000X | DD3262 | NM |
Addresses
Primary practice location
100 Edison Ave
Alamosa, CO 81101-2589
Mailing address
PO Box 1299
Alamosa, CO 81101-1299
Phone (719) 589-4946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107061 | AK | MD | Dentist |
| 9942 | CO | MD | Dentist |
| DD3262 | NM | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1528290186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1299",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811011299",
"telephone_number": "719-589-4946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EDISON AVE",
"city": "ALAMOSA",
"state": "CO",
"postal_code": "811012589",
"telephone_number": "719-589-4946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZERI",
"first_name": "SARAH",
"middle_name": "MARIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-17",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "9942",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AK",
"license": "107061",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD3262",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alamosa, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.