Active NPI
Dar Radfar, DDS
- General Practice Dentistry
- Thousand Oaks, CA
National Provider Identifier
1780803817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49978
- Practice address
- 1459 E Thousand Oaks Blvd Ste B
Thousand Oaks, CA 91362-6213 - Phone
- (805) 497-9408
- Fax
- (805) 497-9914
- NPI assigned
- Apr 25, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49978 | CA | Primary |
Addresses
Primary practice location
1459 E Thousand Oaks Blvd Ste B
Thousand Oaks, CA 91362-6213
Mailing address
361 E. Thousand Oaks Blvd.
Thousand Oaks, CA 91360
Phone (805) 497-9408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181210000352 | CA | Practitioner - Oral Surgery | 0749408094 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49978 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Sleep Alliance | Past | Accepting new patients | |
| Radfar Saadat Dental Partnership | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- Thousand Oaks, CA
- NPI 1952714966
-
dba Oxnard Gentle Dentistry
- General Practice Dentistry
- Oxnard, CA
- NPI 1780300855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1780803817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 E. THOUSAND OAKS BLVD.",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91360",
"telephone_number": "805-497-9408",
"fax_number": "805-497-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 E THOUSAND OAKS BLVD STE B",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913626213",
"telephone_number": "805-497-9408",
"fax_number": "805-497-9914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFAR",
"first_name": "DAR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.