Sara Rifai

Primary specialty

DentistTaxonomy code 122300000X

License

24160 Issued in FL

Practice address

4675 E Sr 44 Ste 104
Wildwood, FL 34785-7461

Phone

(352) 418-3041

NPI assigned

Jul 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wildwood Dentists, PA

  dba Wildwood Dentists

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1770940769
  NPD (past)

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

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562198400000",
    "number": "1780246207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 SW 38TH TER UNIT J202",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745826",
            "telephone_number": "407-928-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 E SR 44 STE 104",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857461",
            "telephone_number": "352-418-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFAI",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-04",
        "last_updated": "2019-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "24160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wildwood",
            "affiliation": "N",
            "address_1": "4675 E SR 44 Ste 104",
            "city": "Wildwood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347857461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eric Noland Reams, LHAS
• Red Mountain Emergency Physicians LLC
• Red Mountain Emergency Physicians LLC
• Renaissance Hearing Center, LLC (Renaissance Hearing Center)
• Jessica Rae Richardson, APRN-C
• Rissan Inc (Safescript Pharmacy)
• Lori Ann Roames
• Anthony Roberts
• Kristoffer Michael Roberts
• Anna M Rock

• Dentist in Wildwood, FL
• Providers in Wildwood, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.