Active NPI
Ronald M Sarosi, D.D.S., D.D.S.
- General Practice Dentistry
- Robinson, TX
National Provider Identifier
1568563930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12840
- Practice address
- 421 N Robinson Dr
Robinson, TX 76706-5303 - Phone
- (254) 662-3306
- Fax
- (254) 662-2500
- NPI assigned
- Sep 26, 2006
- Last updated
- Nov 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12840 | MI | Primary |
Addresses
Primary practice location
421 N Robinson Dr
Robinson, TX 76706-5303
Mailing address
421 N Robinson Dr
Robinson, TX 76706-5303
Phone (254) 662-3306
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952360480 | Other | MI | BC/BS OF MICHIGAN |
| 202608001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12840 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Dental Center PC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1568563930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 N ROBINSON DR",
"city": "ROBINSON",
"state": "TX",
"postal_code": "767065303",
"telephone_number": "254-662-3306",
"fax_number": "254-662-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N ROBINSON DR",
"city": "ROBINSON",
"state": "TX",
"postal_code": "767065303",
"telephone_number": "254-662-3306",
"fax_number": "254-662-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAROSI, D.D.S.",
"first_name": "RONALD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "12840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MICHIGAN",
"identifier": "1952360480",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202608001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Robinson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.