Individual provider Active NPI

Erik Marvin Sayles, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • West Haven, CT
National Provider Identifier
1457598138
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
11059 Issued in CT
Practice address
323 Main St
West Haven, CT 06516-4424
Phone
(203) 937-7181
Fax
(215) 937-1940
NPI assigned
Jan 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 11059 CT Primary

Addresses

Primary practice location

323 Main St
West Haven, CT 06516-4424

Mailing address

323 Main St
West Haven, CT 06516-4424
Phone (203) 937-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161007000414 CT Practitioner - Oral Surgery 9234274309 Reassigns benefits to 2 organizations
I20240313003907 MA Practitioner - Oral Surgery 9234274309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Drexel University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McNally BrothersGroup PAC ID 9234233966, 2 clinicians

Practice addresses (Care Compare)

115 Elm St
Suite 209
Enfield, CT 06082-3735
Phone (860) 741-2277

75 Van Deene Ave
Suite 201
West Springfield, MA 01089-3216
Phone (413) 788-9621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11059CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Oral & Maxillofacial Surgery Centers, LLC Oral and Maxillofacial Surgery CurrentSince Jan 4, 2016 Accepting new patients

Locations

10 Higgins Hwy
Ste 10
Mansfield Ctr, CT 06250
Phone (860) 423-2587

Interoperability endpoints

  • Direct secure messaging: erik.sayles@xdr.hhchealthdirect.org

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1457598138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164424",
            "telephone_number": "203-937-7181",
            "fax_number": "215-937-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164424",
            "telephone_number": "203-937-7181",
            "fax_number": "215-937-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLES",
        "first_name": "ERIK",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "MD, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "11059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.