Active NPI
Michael T Sawyer, DDS
- General Practice Dentistry
- Rochester, MN
National Provider Identifier
1356461768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10303
- Practice address
- Circle Drive Dental 2633 Superior Dr. NW
Suite 200
Rochester, MN 55901 - Phone
- (507) 289-2055
- Fax
- (507) 424-0159
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10303 | MN | Primary |
Addresses
Primary practice location
Circle Drive Dental 2633 Superior Dr. NW
Suite 200
Rochester, MN 55901
Mailing address
Circle Drive Dental 2633 Superior Dr. NW
Suite 200
Rochester, MN 55901
Phone (507) 289-2055
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Jan 5, 2016 through Jan 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Drive Dental | General Practice | Past | Accepting new patients |
| Circle Drive Dental PLLC | 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.
-
- General Practice Dentistry
- Rochester, MN
- NPI 1063789113
-
- Dentist
- Rochester, MN
- NPI 1588041123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356461768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CIRCLE DRIVE DENTAL 2633 SUPERIOR DR. NW",
"address_2": "SUITE 200",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55901",
"telephone_number": "507-289-2055",
"fax_number": "507-424-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CIRCLE DRIVE DENTAL 2633 SUPERIOR DR. NW",
"address_2": "SUITE 200",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "55901",
"telephone_number": "507-289-2055",
"fax_number": "507-424-0159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWYER",
"first_name": "MICHAEL",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "10303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.