Individual provider Active NPI

Lisamarie Sarhangian

  • Oral and Maxillofacial Surgery (Dentist)
  • Chandler, AZ
National Provider Identifier
1699061952
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D010088 Issued in AZ
Practice address
1200 W Warner Rd
Chandler, AZ 85224
Phone
(480) 726-6600
NPI assigned
Jun 24, 2011
Last updated
Oct 8, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D010088 AZ Primary

Addresses

Primary practice location

1200 W Warner Rd
Chandler, AZ 85224

Mailing address

1200 W Warner Rd Ste 3
Chandler, AZ 85224-2758
Phone (480) 726-6600

Other identifiers 1

IdentifierTypeStateIssuer
1699061952OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180720002692 AZ Practitioner - Maxillofacial Surgery 2668770371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Univ of the Pacific Dugoni School of Dentistry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fish and Sarhangian LLCGroup PAC ID 7214342443, 2 clinicians

Practice addresses (Care Compare)

1200 W Warner Rd
Chandler, AZ 85224-2758

1200 W Warner Rd BLDG a
Suite 3
Chandler, AZ 85224-2758
Phone (480) 726-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D010088AZMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Fish and Sarhangian LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1200 W Warner Rd
Ste 3
Chandler, AZ 85224
Phone (480) 726-6600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1699061952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WARNER RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242758",
            "telephone_number": "480-726-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WARNER RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-726-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARHANGIAN",
        "first_name": "LISAMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D010088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1699061952",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.