Manuel A Sato, DDS,MDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12855 Issued in CT

Practice address

263 Farmington Ave
Farmington, CT 06030-0001

Phone

(860) 679-2505

NPI assigned

Jun 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Quinnipiac Endo CT PC

  • Endodontics
  • Wallingford, CT
  • NPI 1093406860
  NPD Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1497914345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HILLSIDE LN",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064683309",
            "telephone_number": "860-424-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATO",
        "first_name": "MANUEL",
        "middle_name": "A",
        "credential": "DDS,MDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "10363",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "12855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shikha Sarkar, MD
• Rawan Sarsour
• Zanetah Sasser
• Vinayak Sathe, MD
• Shruthi Satheesh Kumar, MBBS
• Casey Thran Savage, D.O.
• Arun Saxena, MD
• Katherine Sayre, MS, RD
• Kurt Andrew Scanameo
• Sandra Scantling, PSY.D., APRN

• Endodontics in Farmington, CT
• Providers in Farmington, CT by specialty
• Endodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.