Active NPI
Matt Sager, DDS
- Dentist
- Texas City, TX
National Provider Identifier
1023426004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30340
- Practice address
- 1012 20TH St N
Texas City, TX 77590-5488 - Phone
- (409) 359-4191
- NPI assigned
- Jul 23, 2014
- Last updated
- Jul 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 30340 | TX | Primary |
Addresses
Primary practice location
1012 20TH St N
Texas City, TX 77590-5488
Mailing address
1 Hermann Park CT
Apt 302
Houston, TX 77021-2273
Phone (210) 313-7885
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119000703 | TX | Order and Referring Only - Dentist | 5890098271 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1023426004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HERMANN PARK CT",
"address_2": "APT 302",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770212273",
"telephone_number": "210-313-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 20TH ST N",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775905488",
"telephone_number": "409-359-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGER",
"first_name": "MATT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texas City, TX
- Rose Imaging Specialists, PA (Solis Mammography)
- Ann Marie Ross, FNP, BC
- Royalty Personal Assistance Service
- S K Syal MD PA (Nag Clinic)
- Sager Dental PLLC
- Salvation Healthcare Services, Inc. (Salvation Healthcare Services)
- Sam's Club Optical (Sam's Club Optical 30-8190)
- Delisa Samuels, OTR
- Amanda Sanchez, BCBA,LBA
- Sandcastle Dialysis LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.