Sacs Professionals

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26232 Issued in TX

Legal business name

SACS PROFESSIONALS

Practice address

8706 Fredericksburg Rd Ste 104
San Antonio, TX 78240-1200

Phone

(713) 481-9500

NPI assigned

Dec 11, 2013

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ketan Sukkawala, DDS

Title

Owner

Phone

(979) 450-1116

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1477984722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8706 FREDERICKSBURG RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401200",
            "telephone_number": "713-481-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8706 FREDERICKSBURG RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401200",
            "telephone_number": "713-481-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Lakeway Centre Ct",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "78734",
            "country_code": "US",
            "telephone_number": "737-787-3002",
            "fax_number": "737-787-3002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACS PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "SUKKAWALA",
        "authorized_official_first_name": "KETAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-450-1116",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sacred Heart Hospice LLC
• Karen S Sada, LPC
• Rosemary Sada, FNP-C
• Samantha Roxanne Sada, LCSW
• Parisa Sadeghi
• Vajeeha Sadi-Ali, M.D

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.