Individual provider Active NPI

Eric M Sauk, DDS

  • General Practice Dentistry
  • Louisville, KY
National Provider Identifier
1093822934
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10035 Issued in KY
Practice address
4420 Dixie Hwy Ste 110
Louisville, KY 40216-2986
Phone
(502) 447-3323
Fax
(913) 752-9116
NPI assigned
Aug 24, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10035 KY Primary

Addresses

Primary practice location

4420 Dixie Hwy Ste 110
Louisville, KY 40216-2986

Mailing address

1401 N Tustin Ave
Suite 340
Santa Ana, CA 92705-8644
Phone (714) 664-0200

Other practice location 1

1401 N Tustin Ave
Suite 340
Santa Ana, CA 92705-8644
Phone (714) 664-0200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
10035KYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093822934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N TUSTIN AVE",
            "address_2": "SUITE 340",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058644",
            "telephone_number": "714-664-0200",
            "fax_number": "714-664-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 DIXIE HWY STE 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402162986",
            "telephone_number": "502-447-3323",
            "fax_number": "913-752-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Tustin Ave",
            "address_2": "SUITE 340",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927058644",
            "country_code": "US",
            "telephone_number": "714-664-0200",
            "fax_number": "714-664-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUK",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.