NPIMap

Organization Active NPI

Kelly K. Sawyer, D.D.S., P.a.

  • Pediatric Dentistry
  • San Angelo, TX
National Provider Identifier
1548443203
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
20387 Issued in TX
Legal business name
KELLY K. SAWYER, D.D.S., P.A.
Practice address
3013 W. Loop 306
San Angelo, TX 76904
Phone
(325) 947-7777
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Kelly Koli Sawyer, D.D.S.NPI 1295750206
Title
Owner
Phone
(325) 947-7777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 20387 TX Primary

Addresses

Primary practice location

3013 W. Loop 306
San Angelo, TX 76904

Mailing address

3013 W. Loop 306
San Angelo, TX 76904
Phone (325) 947-7777

National Provider Directory

National Provider Directory

Locations

3013 Loop 306
San Angelo, TX 76904
Phone (325) 947-7777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1548443203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 W. LOOP 306",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76904",
            "telephone_number": "325-947-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 W. LOOP 306",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76904",
            "telephone_number": "325-947-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY K. SAWYER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "KOLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-947-7777",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.