Homayoun Sadri, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

8754 Issued in NC

Practice address

1914 McKinney St
Burlington, NC 27217-2954

Phone

(336) 570-6415

Fax

(336) 221-1264

NPI assigned

May 19, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1710112800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 MCKINNEY ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172954",
            "telephone_number": "336-570-6415",
            "fax_number": "336-221-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 MCKINNEY ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172954",
            "telephone_number": "336-570-6415",
            "fax_number": "336-221-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADRI",
        "first_name": "HOMAYOUN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NC",
            "license": "8754",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913811",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Russo, D.O.
• Britton Lee Rust-Chester, AGACNP-BC
• Lourdesee Ruth, NP
• Whitney Kay Rutter, MS
• William James Ryan II, MD
• Safehaven Family Service, LLC.
• Isami Sakai, D.O.
• Maria Saldanha Da G N Da C Martinho
• Saleh Psychiatry and Wellness
• Samantha Mitchell, PLLC

• Public Health Dentistry in Burlington, NC
• Providers in Burlington, NC by specialty
• Public Health Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.