Active NPI
Saad Masood Tarar
- Dentist
- Lee's Summit, MO
National Provider Identifier
1720684061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2022023827
- Practice address
- 1680 NW Chipman Rd
Lees Summit, MO 64081-3934 - Phone
- (816) 600-3722
- NPI assigned
- Dec 10, 2020
- Last updated
- Jul 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105865 | CA | |
| Dentist | 122300000X | 2022023827 | MO | Primary |
Addresses
Primary practice location
1680 NW Chipman Rd
Lees Summit, MO 64081-3934
Mailing address
11518 Neon Rd
Fort Washington, MD 20744-5149
Phone (925) 434-7596
Other practice location 1
703 N Golden State Blvd
Turlock, CA 95380-3953
Phone (209) 216-4198
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 |
|---|---|---|---|
| 2022023827 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gargano Dental Enterprise LLC | Current | Accepting new patients | |
| Saad Moosad Tarar, LLC | Current | Accepting new patients |
Locations
1680 NW Chipman Rd
Lees Summit, MO 64081
Phone (816) 600-3722
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Raymore, MO
- NPI 1235831389
-
- General Practice Dentistry
- Lee's Summit, MO
- NPI 1386482156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1720684061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11518 NEON RD",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207445149",
"telephone_number": "925-434-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 NW CHIPMAN RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640813934",
"telephone_number": "816-600-3722"
}
],
"practiceLocations": [
{
"address_1": "703 N Golden State Blvd",
"address_purpose": "LOCATION",
"city": "Turlock",
"state": "CA",
"postal_code": "953803953",
"country_code": "US",
"telephone_number": "209-216-4198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TARAR",
"first_name": "SAAD",
"middle_name": "MASOOD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-10",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105865",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2022023827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.