Active NPI
Jamie J. Sasek
- Dentist
- Tucson, AZ
National Provider Identifier
1144367392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6897
- Practice address
- 3922 N Oracle Rd
Tucson, AZ 85705-3276 - Phone
- (520) 293-0590
- Fax
- (520) 293-0607
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 6897 | AZ | Primary |
Addresses
Primary practice location
3922 N Oracle Rd
Tucson, AZ 85705-3276
Mailing address
3220 W Ina Rd
Apt. #8208
Tucson, AZ 85741-2160
Phone (520) 293-0590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D6897 | Medicaid | AZ |
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 |
|---|---|---|---|
| 6897 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental of Arizona, Inc. | 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.
-
- General Practice Dentistry
- Tucson, AZ
- NPI 1215073168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1144367392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 W INA RD",
"address_2": "APT. #8208",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857412160",
"telephone_number": "520-293-0590",
"fax_number": "714-571-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3922 N ORACLE RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857053276",
"telephone_number": "520-293-0590",
"fax_number": "520-293-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASEK",
"first_name": "JAMIE",
"middle_name": "J.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "6897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D6897",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.