Individual provider Active NPI

Sahar Rezayazdi, D.D.S.

  • General Practice Dentistry
  • Cuba City, WI
National Provider Identifier
1891874046
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1001028-15 Issued in WI
Practice address
206 S Jackson St
Cuba City, WI 53807-1147
Phone
(608) 744-2111
Fax
(608) 744-2112
NPI assigned
Nov 6, 2006
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 1001028-15 WI Primary

Addresses

Primary practice location

206 S Jackson St
Cuba City, WI 53807-1147

Mailing address

206 S Jackson St
Cuba City, WI 53807-1147
Phone (608) 744-2111

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
08418IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Dental, P.C. General Practice Past Accepting new patients
Cuba City Family Dental LLC PastSince Oct 8, 2023 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, 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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1891874046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S JACKSON ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071147",
            "telephone_number": "608-744-2111",
            "fax_number": "608-744-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S JACKSON ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071147",
            "telephone_number": "608-744-2111",
            "fax_number": "608-744-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAYAZDI",
        "first_name": "SAHAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001028-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuba City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.