Individual provider Active NPI

Dar Radfar, DDS

  • General Practice Dentistry
  • Thousand Oaks, CA
National Provider Identifier
1780803817
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49978 Issued in CA
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

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181210000352 CA Practitioner - Oral Surgery 0749408094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
49978CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Sleep Alliance PastSince Apr 18, 2014 Accepting new patients
Radfar Saadat Dental Partnership General Practice PastSince Oct 23, 2022 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.

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

Verify at the official NPI Registry.