Active NPI
Raion Sabo, DDS
- Dentist
- Piedmont, CA
National Provider Identifier
1013430248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS104997
- Practice address
- 1333 Grand Ave Ste 1
Piedmont, CA 94610-1081 - Phone
- (510) 652-1702
- NPI assigned
- Jul 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS104997 | CA | Primary |
Addresses
Primary practice location
1333 Grand Ave Ste 1
Piedmont, CA 94610-1081
Mailing address
35 Red Hill Cir Apt E
Tiburon, CA 94920-1772
Phone (415) 393-7119
Other practice location 1
3750 Montgomery Dr
Santa Rosa, CA 95405-5215
Phone (707) 542-6772
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS104997 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutton Dental Practice Inc. | Past | 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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Santa Rosa, CA
- NPI 1659252450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676160000000",
"number": "1013430248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 RED HILL CIR APT E",
"city": "TIBURON",
"state": "CA",
"postal_code": "949201772",
"telephone_number": "415-393-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 GRAND AVE STE 1",
"city": "PIEDMONT",
"state": "CA",
"postal_code": "946101081",
"telephone_number": "510-652-1702"
}
],
"practiceLocations": [
{
"address_1": "3750 Montgomery Dr",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954055215",
"country_code": "US",
"telephone_number": "707-542-6772",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SABO",
"first_name": "RAION",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-19",
"last_updated": "2023-02-12",
"certification_date": "2023-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS104997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Piedmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.