Individual provider Active NPI

Lee H Sarty, D.D.S.

  • General Practice Dentistry
  • Concord, CA
National Provider Identifier
1114023769
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21405 Issued in CA
Practice address
2975 Treat Blvd
Suite B-3
Concord, CA 94518-3601
Phone
(925) 798-1951
Fax
(925) 798-9165
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 21405 CA Primary

Addresses

Primary practice location

2975 Treat Blvd
Suite B-3
Concord, CA 94518-3601

Mailing address

200 Oakridge Dr
Danville, CA 94506-3102
Phone (925) 820-5866

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

LicenseStateTypeSpecialty
21405CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lee H Sarty Inc General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114023769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAKRIDGE DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945063102",
            "telephone_number": "925-820-5866",
            "fax_number": "925-743-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 TREAT BLVD",
            "address_2": "SUITE B-3",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945183601",
            "telephone_number": "925-798-1951",
            "fax_number": "925-798-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTY",
        "first_name": "LEE",
        "middle_name": "H",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.