Individual provider Active NPI

Geoffrey Louis Sas

  • Endodontics
  • Bay Harbor Islands, FL
National Provider Identifier
1407406218
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN24746 Issued in FL
Practice address
1045 Kane Concourse Ste 204
Bay Harbor Islands, FL 33154-2119
Phone
(305) 916-6061
NPI assigned
Sep 13, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN24746 FL Primary
Endodontics 1223E0200X 060421 NY

Addresses

Primary practice location

1045 Kane Concourse Ste 204
Bay Harbor Islands, FL 33154-2119

Mailing address

648 N Island
Golden Beach, FL 33160-2257
Phone (786) 202-7475

Other practice location 1

1414 Avenue Of The Americas Fl 19
New York, NY 10019-2514
Phone (212) 832-1414

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
DN24746FLMDEndodontist
060421NYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1407406218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 N ISLAND",
            "city": "GOLDEN BEACH",
            "state": "FL",
            "postal_code": "331602257",
            "telephone_number": "786-202-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 KANE CONCOURSE STE 204",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542119",
            "telephone_number": "305-916-6061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 Avenue Of The Americas Fl 19",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100192514",
            "country_code": "US",
            "telephone_number": "212-832-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAS",
        "first_name": "GEOFFREY",
        "middle_name": "LOUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN24746",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "060421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.