Active NPI
Joseph Sacco
- Specialist
- Bethesda, MD
National Provider Identifier
1063766913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2701
- Practice address
- 7103 Democracy Blvd
Sears Miracle Ear Montgomery Mall
Bethesda, MD 20817 - Phone
- (301) 365-6270
- NPI assigned
- Oct 30, 2012
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2701 | MD | Primary |
Addresses
Primary practice location
7103 Democracy Blvd
Sears Miracle Ear Montgomery Mall
Bethesda, MD 20817
Mailing address
7103 Democracy Blvd
Sears Miracle Ear Montgomery Mall
Bethesda, MD 20817
Phone (301) 365-6270
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 |
|---|---|---|---|
| 2701 | MD | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357344000000",
"number": "1063766913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7103 DEMOCRACY BLVD",
"address_2": "SEARS MIRACLE EAR MONTGOMERY MALL",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20817",
"telephone_number": "301-365-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7103 DEMOCRACY BLVD",
"address_2": "SEARS MIRACLE EAR MONTGOMERY MALL",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20817",
"telephone_number": "301-365-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCO",
"first_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-30",
"last_updated": "2013-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "2701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.