Individual provider Active NPI

Roger W. Sachs, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Danvers, MA
National Provider Identifier
1235164930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
12521 Issued in MA
Practice address
80 Lindall St
Suite 4
Danvers, MA 01923-2135
Phone
(978) 777-0505
Fax
(978) 750-4029
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Oral and Maxillofacial Pathology Dentistry 1223P0106X 12521 MA Primary

Addresses

Primary practice location

80 Lindall St
Suite 4
Danvers, MA 01923-2135

Mailing address

87 Abington Rd
Danvers, MA 01923-4207
Phone (978) 750-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20190123000537 CA Practitioner - Oral Surgery 1052658515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12521MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Nov 18, 2018 Accepting new patients
Alameda Health System CurrentSince Nov 18, 2018 Accepting new patients
Alameda Health System Current Accepting new patients
Keith H Sherwood, LLC Oral and Maxillofacial Pathology Past Accepting new patients

Locations

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235164930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 ABINGTON RD",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234207",
            "telephone_number": "978-750-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LINDALL ST",
            "address_2": "SUITE 4",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232135",
            "telephone_number": "978-777-0505",
            "fax_number": "978-750-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "ROGER",
        "middle_name": "W.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MA",
            "license": "12521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.