Individual provider Active NPI

Sarah J Satow, BSC., DMD, FRCDC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fairbanks, AK
National Provider Identifier
1023145026
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D-3754-OS Issued in ID
Practice address
114 Minnie St.,
Suite D
Fairbanks, AK 99701
Phone
(907) 455-4010
NPI assigned
Feb 27, 2007
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D-3754-OS ID Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DE 00007763 WA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 164 AK

Addresses

Primary practice location

114 Minnie St.,
Suite D
Fairbanks, AK 99701

Mailing address

114 Minnie St.,
Suite D
Fairbanks, AK 99701
Phone (907) 455-4010

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
I20151216002236 TX Practitioner - Oral Surgery 7214926856 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164AKMDOral and Maxillofacial Surgery (Dentist)
D-3754-OSIDMDOral and Maxillofacial Surgery (Dentist)
DE 00007763WAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Nov 1, 2015 Accepting new patients
Alaska Trauma & Acute Care Surgery, LLC Current Accepting new patients
Fairbanks Oral Surgery, LLC Oral and Maxillofacial Surgery Past Accepting new patients
Birch Mountain Anesthesia Consultants LLC PastSince Sep 15, 2018 Accepting new patients
Lewiston-Clarkston Oral & Max. Surg. PC Oral and Maxillofacial Surgery PastSince Jul 20, 2004 Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

Interoperability endpoints

  • Direct secure messaging: sarahsatow@atacs.allscriptsdirect.net
  • Direct secure messaging: ssatow@direct.scf.cc

Organizations & group practices 5

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1023145026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MINNIE ST.,",
            "address_2": "SUITE D",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-455-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MINNIE ST.,",
            "address_2": "SUITE D",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99701",
            "telephone_number": "907-455-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATOW",
        "first_name": "SARAH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "BSC., DMD, FRCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "D-3754-OS",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE 00007763",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AK",
            "license": "164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.