Active NPI
Premier Sleep Alliance
- Dentist
- Thousand Oaks, CA
National Provider Identifier
1952714966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49978
- Legal business name
- PREMIER SLEEP ALLIANCE
- Practice address
- 361 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5805 - Phone
- (805) 468-7533
- Fax
- (805) 497-9914
- NPI assigned
- Jun 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dar Radfar, DDS
- Title
- Owner
- Phone
- (805) 468-7533
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49978 | CA | Primary |
Addresses
Primary practice location
361 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5805
Mailing address
361 E Thousand Oaks Blvd
Thousand Oaks, CA 91360-5805
Phone (805) 468-7533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140827002384 | CA | DME Supplier - Oral Surgery - Dentist | 9335367689 | Practice locations: Thousand Oaks, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Thousand Oaks, CA
- NPI 1780803817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402012800000",
"number": "1952714966",
"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": "913605805",
"telephone_number": "805-468-7533",
"fax_number": "805-497-9914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 E THOUSAND OAKS BLVD",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913605805",
"telephone_number": "805-468-7533",
"fax_number": "805-497-9914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER SLEEP ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-06",
"last_updated": "2014-06-06",
"status": "A",
"authorized_official_last_name": "RADFAR",
"authorized_official_first_name": "DAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-468-7533",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "49978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
- Sangeeta Prabhakar, MD
- Michelle Denise Prado
- Kirsten Rose Prater, MA
- Precision Chiropractic Shannon Corporation
- Precision Physicians Surgical Group Corp.
- Premise Health of California Medical, P.C (Takeda - Thousand Oaks)
- Jacob Press
- Juris Priedkalns, M.D.
- Robert Alan Princenthal, MD
- Peter Daniel Pringle, M.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.