Charles A. Sadler Jr., D.D.S., M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12009370 Issued in IN

Practice address

11921 Lakeside Dr
Fishers, IN 46038-1316

Phone

(317) 594-0888

Fax

(317) 594-0286

NPI assigned

Aug 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 23, 2015 through Sep 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sadler Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fishers, IN
  • NPI 1558581322
  NPD (past) Authorized official

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1285882589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11921 LAKESIDE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381316",
            "telephone_number": "317-594-0888",
            "fax_number": "317-594-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11921 LAKESIDE DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381316",
            "telephone_number": "317-594-0888",
            "fax_number": "317-594-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADLER",
        "first_name": "CHARLES",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12009370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory A. Ryan, DDS
• Stuart Ryan, DDS
• Farhad Niaki Saberi, RPH
• Sabra Midwest Operations IX LLC
• Sadler Orthodontics
• Kathy Saeger, NP
• Safe and Sound Home Modifications LLC
• Amber Saffen, RN, MSN, FNP
• Taline Saintilus
• Ryan Salata, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Fishers, IN
• Providers in Fishers, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.