Jan A Sapak, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20559 Issued in MA

Practice address

1518 Hancock St
Quincy, MA 02169-5205

Phone

(617) 471-3600

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 42 North Dental Care, LLC

  dba Gentle Dental Quincy

  • Dental Clinic/Center
  • Quincy, MA
  • NPI 1770852527
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518030550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 GAY ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695205",
            "telephone_number": "617-471-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPAK",
        "first_name": "JAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denel Santalucia
• Betsy Santiago-Layne
• Janelle Lynn Santos, MA
• Cristiano Santostefano, PSY.D.
• Lisa Santostefano, M.S.
• Sarah Kim, DMD, PC
• Kyle B Sargent, FNP-BC
• Angelo J Sartor, M.ED.
• Sasam Transportation Inc
• Ryoko Sato

• General Practice Dentistry in Quincy, MA
• Providers in Quincy, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.