Individual provider Active NPI

Sarah F Waqhar, DDS

  • Dentist
  • Crossroads, TX
National Provider Identifier
1992323869
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39124 Issued in TX
Practice address
11650 US Highway 380 Ste 100
Cross Roads, TX 76227-8329
Phone
(940) 205-4293
NPI assigned
Jul 8, 2020
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 39124 TX Primary

Addresses

Primary practice location

11650 US Highway 380 Ste 100
Cross Roads, TX 76227-8329

Mailing address

1262 Aziz Dr
Canton, MI 48188-5094
Phone (734) 578-3934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240426003105 TX Order and Referring Only - DentistPractitioner - Dentist 3375983117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39124TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Roads Smiles Dentistry,PC Dentist PastSince Mar 12, 2024 Accepting new patients

Organizations & group practices 1

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1992323869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 AZIZ DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481885094",
            "telephone_number": "734-578-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 US HIGHWAY 380 STE 100",
            "city": "CROSS ROADS",
            "state": "TX",
            "postal_code": "762278329",
            "telephone_number": "940-205-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAQHAR",
        "first_name": "SARAH",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "39124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossroads, TX

Sources for this page

Verify at the official NPI Registry.