Organization Active NPI

Sara Bukhari, DDS PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1710352968
Registry record updated Dec 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8784 Issued in AZ
Legal business name
SARA BUKHARI, DDS PLLC
Practice address
4731 E Union Hills Dr
Suites 108-110
Phoenix, AZ 85050-3310
Phone
(480) 389-4215
Fax
(480) 383-6199
NPI assigned
Dec 13, 2015
Last updated
Dec 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2015

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

Authorized official

Name
Sara Bukhari, DDSNPI 1144238148
Title
President
Phone
(480) 389-4215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8784 AZ Primary

Addresses

Primary practice location

4731 E Union Hills Dr
Suites 108-110
Phoenix, AZ 85050-3310

Mailing address

7500 E Deer Valley Rd
Unit 164
Scottsdale, AZ 85255-4814
Phone (480) 389-4215

Other identifiers 1

IdentifierTypeStateIssuer
721912MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4731 E Union Hills Dr
Phoenix, AZ 85050
Phone (480) 389-4215

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449964800000",
    "number": "1710352968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 E DEER VALLEY RD",
            "address_2": "UNIT 164",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554814",
            "telephone_number": "480-389-4215",
            "fax_number": "480-383-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 E UNION HILLS DR",
            "address_2": "SUITES 108-110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503310",
            "telephone_number": "480-389-4215",
            "fax_number": "480-383-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA BUKHARI, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-13",
        "last_updated": "2015-12-13",
        "status": "A",
        "authorized_official_last_name": "BUKHARI",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-389-4215",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D8784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721912",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; 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.