John A Safar, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16740 Issued in TX

Practice address

1100 Wilford Hall Loop BLDG 4554
Attn: 59 MDW/SGHC
Jbsa- Lackland, TX 78236-9908

Phone

(210) 292-6225

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1700860335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP",
            "address_2": "BLDG 4554, ATTN: 59 MDW/SGHC",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WILFORD HALL LOOP BLDG 4554",
            "address_2": "ATTN: 59 MDW/SGHC",
            "city": "JBSA- LACKLAND",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAR",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Rutter, MPAS, PA-C
• Mark Daniel Ryan, D.D.S.
• Raphael John Quinones Sabado, DO
• Gerald W. Saboe, D.O., M.P.H.
• Rene Saenz, D.D.S.
• Cade Adam Salmon, DDS, MS
• Jeremiah Yanga Samson, PT, MSPT, OCS, COMT
• Marla Sanchez
• Joseph Santamaria, M.D.
• Michael Santora, D.M.D.

• General Practice Dentistry in Jbsa- Lackland, TX
• Providers in Jbsa- Lackland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.

Verify at the official NPI Registry.