Individual provider Active NPI

Saad Masood Tarar

  • Dentist
  • Lee's Summit, MO
National Provider Identifier
1720684061
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2022023827 Issued in MO
Practice address
1680 NW Chipman Rd
Lees Summit, MO 64081-3934
Phone
(816) 600-3722
NPI assigned
Dec 10, 2020
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2022023827MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gargano Dental Enterprise LLC CurrentSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.