Daniel Isaac Sabra, DMD, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN1857536 Issued in MA

Practice address

90 Humphrey St
Swampscott, MA 01907-2542

Phone

(781) 596-2220

NPI assigned

Aug 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Perico, PC

  • Periodontics
  • Swampscott, MA
  • NPI 1437393139
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1083023113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HUMPHREY ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072542",
            "telephone_number": "781-596-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HUMPHREY ST",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072542",
            "telephone_number": "781-596-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABRA",
        "first_name": "DANIEL",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-02",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "ETN286",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1857536",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN20632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R. Louis Rotondo, DPM
• Stacy Rubtchinsky, M.D.
• Ramon Ruiz, PH.D.
• Maureen R Russell, LMT
• Britney Russo
• Parisa Safaei, DMD
• Alexandra Cecilia Sanchez, MS, RD, LDN
• Erkina Sartbaeva
• Sara-Rose Sauerborn
• Susan Shea, Ed.S., BCBA

• Periodontics in Swampscott, MA
• Providers in Swampscott, MA by specialty
• Periodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.

Verify at the official NPI Registry.