Individual provider Active NPI

Wisam Sakr, DDS,MS

  • Endodontics
  • Pittsburgh, PA
National Provider Identifier
1306256946
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
29782 Issued in TX
Practice address
125 6TH St
Pittsburgh, PA 15222-3308
Phone
(203) 425-4332
NPI assigned
May 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 29782 TX Primary

Addresses

Primary practice location

125 6TH St
Pittsburgh, PA 15222-3308

Mailing address

125 6TH St
Pittsburgh, PA 15222-3308
Phone (203) 425-4332

Other practice location 1

1505 E Rio Grande St # 120
Victoria, TX 77901-7396
Phone (361) 575-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231020002760 TX Order and Referring Only - DentistPractitioner - Dentist 3971830779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DS040643PAMDEndodontist
29782TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Vinh Ngo Dentistry PLLC Single Specialty Past Accepting new patients
Associated Dental Specialists Endodontics Past Accepting new patients

Organizations & group practices 2

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1306256946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 6TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223308",
            "telephone_number": "203-425-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 6TH ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223308",
            "telephone_number": "203-425-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 E Rio Grande St # 120",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779017396",
            "country_code": "US",
            "telephone_number": "361-575-8000",
            "fax_number": "361-578-0570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKR",
        "first_name": "WISAM",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "29782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.