Individual provider Active NPI

Paul Sablan Sauget, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tamuning, GU
National Provider Identifier
1538152178
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D-1017 Issued in GU
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161230001257 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6901187111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22067TXMDPsychologist
D-1017GUMDOrthodontics and Dentofacial Orthopedic Dentist
S3-243CNVMDOrthodontics and Dentofacial Orthopedic Dentist
0109MPMDPharmacist

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

Verify at the official NPI Registry.