Alysa Brooke Sadkin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35957 Issued in TX

Practice address

1750 E Broad St
Mansfield, TX 76063-3400

Phone

(817) 473-6857

NPI assigned

May 2, 2019

Last updated

Jun 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• A. B. Sadkin PLLC

  dba Northlake Dental Studio

  • General Practice Dentistry
  • Northlake, TX
  • NPI 1437002540
  NPD Authorized official
• Broad Park Dental PA

  • General Practice Dentistry
  • Mansfield, TX
  • NPI 1083849707
  NPD (past)
• Broad Park Family Dentistry

  • General Practice Dentistry
  • Mansfield, TX
  • NPI 1154440089
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1518522754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E BROAD ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633400",
            "telephone_number": "817-473-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E BROAD ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633400",
            "telephone_number": "817-473-6857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 E Mockingbird Ln Ste 120",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752060941",
            "country_code": "US",
            "telephone_number": "214-821-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Sultans Ct",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142211775",
            "country_code": "US",
            "telephone_number": "716-830-4372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADKIN",
        "first_name": "ALYSA",
        "middle_name": "BROOKE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35957",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L Rutledge, LM CPM CLC
• S & L Health LLC (HealthSource Chiropractic of North Mansfield)
• S2 Chiropractic, PA (Silva Chiropractic Center)
• Sheila Z Saahene
• Ramy Mahmoud Mohamed Sabe, MBBCH
• Safety First Mobility Services LLC
• Sai MD PLLC
• Shahzeb Saiyed, DDS
• Chandini Sajja, MD
• Madison T Sala

• General Practice Dentistry in Mansfield, TX
• Providers in Mansfield, 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 Jun 4, 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.