Individual provider Active NPI

Paul R Sauvage, DDS

  • General Practice Dentistry
  • Seattle, WA
National Provider Identifier
1396796272
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6335 Issued in WA
Practice address
1210 22ND Ave E
Seattle, WA 98112-3535
Phone
(206) 383-8167
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6335 WA Primary

Addresses

Primary practice location

1210 22ND Ave E
Seattle, WA 98112-3535

Mailing address

1210 22ND Ave E
Seattle, WA 98112-3535
Phone (206) 383-8167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20181030003321 WA Order and Referring Only - DentistPractitioner - Dentist 1355661075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6335WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sauvage DDS PS PastSince Aug 29, 2021 Accepting new patients
Sauvage DDS PS PastSince Aug 29, 2021 Accepting new patients
Sonu Mathur DDS PLLC General Practice Past Accepting new patients
Sauvage DDS PS PastSince Aug 29, 2021 Accepting new patients
Sauvage, DDS, PS General Practice Past Accepting new patients

Organizations & group practices 5

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1396796272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 22ND AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123535",
            "telephone_number": "206-383-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 22ND AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123535",
            "telephone_number": "206-383-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUVAGE",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.