Individual provider Active NPI

Edward Norman Sague, DDS

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1336127778
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS023057L Issued in PA
Practice address
5285 Sapphire Dr
Colorado Springs, CO 80918-5063
Phone
(609) 827-0960
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08841 MD
General Practice Dentistry 1223G0001X 13849 NJ
General Practice Dentistry 1223G0001X 16773 MA
General Practice Dentistry 1223G0001X 8841 MD
General Practice Dentistry 1223G0001X DN16773 MA
General Practice Dentistry 1223G0001X DS023057L PA Primary

Addresses

Primary practice location

5285 Sapphire Dr
Colorado Springs, CO 80918-5063

Mailing address

5285 Sapphire Dr
Colorado Springs, CO 80918-5063
Phone (609) 827-0960

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

LicenseStateTypeSpecialty
DN16773MAMDGeneral Practice Dentistry
8841MDMDGeneral Practice Dentistry
13849NJMDGeneral Practice Dentistry
DS023057LPAMDGeneral Practice Dentistry
16773MAMDPhysical Therapist
08841MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1336127778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 SAPPHIRE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185063",
            "telephone_number": "609-827-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 SAPPHIRE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185063",
            "telephone_number": "609-827-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGUE",
        "first_name": "EDWARD",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "08841",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "13849",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16773",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8841",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN16773",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023057L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.