Active NPI
Allen N Sawyer, DMD
- Endodontics
- Covington, LA
National Provider Identifier
1548273683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 6171
- Practice address
- 216 W 21St Ave
Covington, LA 70433-3152 - Phone
- (706) 461-1579
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN013096 | GA | |
| Endodontics | 1223E0200X | 6171 | LA | Primary |
Addresses
Primary practice location
216 W 21St Ave
Covington, LA 70433-3152
Mailing address
216 W 21St Ave
Covington, LA 70433-3152
Phone (706) 461-1579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480780729A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20150519002106 | LA | Order and Referring Only - Other (Physician) | 1456671288 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013096 | GA | MD | General Practice Dentistry |
| 6171 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1548273683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 W 21ST AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704333152",
"telephone_number": "706-461-1579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 W 21ST AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704333152",
"telephone_number": "706-461-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAWYER",
"first_name": "ALLEN",
"middle_name": "N",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013096",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "LA",
"license": "6171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "480780729A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.