Individual provider Active NPI

Sara Daneshpajouh, D.M.D.

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1982836003
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18753 Issued in FL
Practice address
2362 N Federal Hwy
Ft Lauderdale, FL 33305-2562
Phone
(954) 566-4167
NPI assigned
Aug 24, 2009
Last updated
Aug 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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 DN18753 FL Primary

Addresses

Primary practice location

2362 N Federal Hwy
Ft Lauderdale, FL 33305-2562

Mailing address

770 Claughton Island Dr
Apt # 906
Miami, FL 33131-2617
Phone (786) 290-5463

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160225001196 FL Order and Referring Only - DentistPractitioner - Dentist 5395040547

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN18753FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1982836003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CLAUGHTON ISLAND DR",
            "address_2": "APT # 906",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312617",
            "telephone_number": "786-290-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 N FEDERAL HWY",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333052562",
            "telephone_number": "954-566-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHPAJOUH",
        "first_name": "SARA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.