Active NPI
Paul Sablan Sauget, D.D.S., M.S.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Tamuning, GU
National Provider Identifier
1538152178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D-1017
- Practice address
- 643 Chalan San Antonio Ste 104
Tamuning, GU 96913-3644 - Phone
- (671) 648-9888
- Fax
- (671) 648-9894
- NPI assigned
- Aug 30, 2005
- Last updated
- Feb 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0109 | MP | |
| General Practice Dentistry | 1223G0001X | 22067 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 62374 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | S3-243C | NV | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D-1017 | GU | Primary |
Addresses
Primary practice location
643 Chalan San Antonio Ste 104
Tamuning, GU 96913-3644
Mailing address
643 Chalan San Antonio Ste 104
Tamuning, GU 96913-3644
Phone (671) 648-9888
Other practice location 1
817 S Bedford St Apt 3
Los Angeles, CA 90035-1821
Phone (310) 382-6594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161230001257 | CA | Order and Referring Only - Other (Physician) | 6901187111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22067 | TX | MD | Psychologist |
| D-1017 | GU | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| S3-243C | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 0109 | MP | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1538152178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 CHALAN SAN ANTONIO STE 104",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133644",
"telephone_number": "671-648-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 CHALAN SAN ANTONIO STE 104",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133644",
"telephone_number": "671-648-9888",
"fax_number": "671-648-9894"
}
],
"practiceLocations": [
{
"address_1": "817 S Bedford St Apt 3",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900351821",
"country_code": "US",
"telephone_number": "310-382-6594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUGET",
"first_name": "PAUL",
"middle_name": "SABLAN",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MP",
"license": "0109",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22067",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "62374",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "S3-243C",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GU",
"license": "D-1017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.