Dongjin Sah, DDS, MSD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

61419 Issued in CA

Practice address

1400 N Dutton Ave Ste 11
Santa Rosa, CA 95401-4644

Phone

(707) 545-4104

Fax

(707) 545-9668

NPI assigned

Jul 12, 2012

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Male

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.

• Dr E Colin DMD PC

  • Endodontics
  • Santa Rosa, CA
  • NPI 1134517139
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1548525785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE STE 11",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014644",
            "telephone_number": "707-545-4104",
            "fax_number": "707-545-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N DUTTON AVE STE 11",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014644",
            "telephone_number": "707-545-4104",
            "fax_number": "707-545-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAH",
        "first_name": "DONGJIN",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "61419",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brice Safford
• Saffron's Specialized Medical, LLC (Saffron's Specialized Medical)
• Jose Louis Safont
• Sage Educational Psychology Inc
• Mitzy Abigail Sagrero
• Rajkumar Saharan
• Nicole L Sahlin, LMFT
• Valerie Ann Sahr, MFT INTERN
• Muhamod Saied
• Sean Avila Saiter, PHD

• Endodontics in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.