Organization Active NPI

Sarasota Dementia Clinic, LLC

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1750622056
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME110213 Issued in FL
Legal business name
SARASOTA DEMENTIA CLINIC, LLC
Practice address
3920 Bee Ridge Rd
BLDG D, Ste 101
Sarasota, FL 34233-1207
Phone
(941) 706-1047
Fax
(941) 706-1168
NPI assigned
Mar 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. Arshad Mahar, M.D.
Title
President
Phone
(941) 706-1047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME110213 FL Primary

Addresses

Primary practice location

3920 Bee Ridge Rd
BLDG D, Ste 101
Sarasota, FL 34233-1207

Mailing address

3920 Bee Ridge Rd
BLDG D, Ste 101
Sarasota, FL 34233-1207
Phone (941) 706-1047

National Provider Directory

National Provider Directory

Locations

5600 Bee Ridge Rd
Sarasota, FL 34233
Phone (941) 706-1047

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1750622056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD",
            "address_2": "BLDG D, STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-706-1047",
            "fax_number": "941-706-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD",
            "address_2": "BLDG D, STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-706-1047",
            "fax_number": "941-706-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA DEMENTIA CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "MAHAR",
        "authorized_official_first_name": "ARSHAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-706-1047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME110213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.