Organization Active NPI

Eric J. Sadler, DDS and Associates PA

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1184914228
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7481 Issued in NC
Legal business name
ERIC J. SADLER, DDS AND ASSOCIATES PA
Practice address
1037 Homeland Ave
Greensboro, NC 27405-7003
Phone
(336) 272-0132
Fax
(336) 272-3644
NPI assigned
Apr 11, 2011
Last updated
Apr 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Eric Jerod Sadler, D.D.S.
Title
Dentist/Owner
Phone
(336) 272-0132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7481 NC
General Practice Dentistry 1223G0001X 7481 NC Primary

Addresses

Primary practice location

1037 Homeland Ave
Greensboro, NC 27405-7003

Mailing address

1037 Homeland Ave
Greensboro, NC 27405-7003
Phone (336) 272-0132

Other identifiers 4

IdentifierTypeStateIssuer
89902FKMedicaidNC
8995840MedicaidNC
902FKOtherBLUE CROSS BLUE SHIELD
95840OtherBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1037 Homeland Ave
Greensboro, NC 27405
Phone (336) 272-0132

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1184914228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 HOMELAND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057003",
            "telephone_number": "336-272-0132",
            "fax_number": "336-272-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 HOMELAND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274057003",
            "telephone_number": "336-272-0132",
            "fax_number": "336-272-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. SADLER, DDS AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JEROD",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "336-272-0132",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7481",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902FK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995840",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "902FK",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95840",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.