Jessica Wagner Sabo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51297 Issued in CA

Practice address

701 Highland Springs Ave
Suite 12
Beaumont, CA 92223-2550

Phone

(951) 769-1616

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jessica Wagner Sabo DDS Inc

  • Customized Equipment (DME)
  • Beaumont, CA
  • NPI 1639669856
  NPD Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568511376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HIGHLAND SPRINGS AVE",
            "address_2": "SUITE 12",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HIGHLAND SPRINGS AVE",
            "address_2": "SUITE 12",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232550",
            "telephone_number": "951-769-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABO",
        "first_name": "JESSICA",
        "middle_name": "WAGNER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelynn Rosado
• David J Rowell, D.C.
• Marcia Ruhl, RD
• Christine Jacorie Russell, M.D., M.B.A.
• S J Felder Enterprises LLC
• Sahawneh Dental Corporation (Bright Now Dental - Beaumont)
• Jamel Salah
• Michael Salazar, MED LPC TEXAS
• Curtis Ray Salley, D.C.
• San Bernardino Medical Orthopaedic Group, Inc. (Arrowhead Orthopaedics)

• General Practice Dentistry in Beaumont, CA
• Providers in Beaumont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.