Individual provider Active NPI

Sagar Shreekant Mauskar, DMD

  • Dentist
  • Coral Gables, FL
National Provider Identifier
1477800985
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19913 Issued in FL
Practice address
1252 Obispo Ave
Coral Gables, FL 33134-3510
Phone
(305) 479-4729
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19913 FL Primary

Addresses

Primary practice location

1252 Obispo Ave
Coral Gables, FL 33134-3510

Mailing address

1252 Obispo Ave
Coral Gables, FL 33134-3510
Phone (305) 479-4729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170705002740 FL Order and Referring Only - DentistPractitioner - Dentist 7810266913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19913FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1477800985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 OBISPO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343510",
            "telephone_number": "305-479-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 OBISPO AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343510",
            "telephone_number": "305-479-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUSKAR",
        "first_name": "SAGAR",
        "middle_name": "SHREEKANT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.