Individual provider Active NPI

Kent P Saba, DDS

  • Dentist
  • Sun Lakes, AZ
National Provider Identifier
1467563668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3153 Issued in AZ
Practice address
9666 E Riggs Rd
Suite 106
Sun Lakes, AZ 85248
Phone
(480) 895-2111
Fax
(480) 895-0368
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3153 AZ Primary

Addresses

Primary practice location

9666 E Riggs Rd
Suite 106
Sun Lakes, AZ 85248

Mailing address

9666 E Riggs Rd
Suite 106
Sun Lakes, AZ 85248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20161021001269 AZ Order and Referring Only - DentistPractitioner - Dentist 5496033672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3153AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467563668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9666 E RIGGS RD",
            "address_2": "SUITE 106",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "85248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9666 E RIGGS RD",
            "address_2": "SUITE 106",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "85248",
            "telephone_number": "480-895-2111",
            "fax_number": "480-895-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABA",
        "first_name": "KENT",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

Verify at the official NPI Registry.