Active NPI
Sagarian,a Professional Dental Corporation
- General Practice Dentistry
- Wasco, CA
National Provider Identifier
1568722437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43655
- Legal business name
- SAGARIAN,A PROFESSIONAL DENTAL CORPORATION
- Doing business as
- rosetown family dentistry
- Practice address
- 1229 7TH St
Wasco, CA 93280-1820 - Phone
- (661) 758-5338
- Fax
- (661) 758-8150
- NPI assigned
- May 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mike Mais Sagarian, DDS
- Title
- President
- Phone
- (661) 758-5338
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43655 | CA | Primary |
Addresses
Primary practice location
1229 7TH St
Wasco, CA 93280-1820
Mailing address
1229 7TH St
Wasco, CA 93280-1820
Phone (661) 758-5338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G91682 | Medicaid | CA |
Other names 1
- rosetown family dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Rosetown Family Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Bakersfield, CA
- NPI 1558484428
Locations
1229 7th St
Wasco, CA 93280
Phone (661) 758-5338
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Wasco, CA
- NPI 1396876397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337904000000",
"number": "1568722437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 7TH ST",
"city": "WASCO",
"state": "CA",
"postal_code": "932801820",
"telephone_number": "661-758-5338",
"fax_number": "661-758-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 7TH ST",
"city": "WASCO",
"state": "CA",
"postal_code": "932801820",
"telephone_number": "661-758-5338",
"fax_number": "661-758-8150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGARIAN,A PROFESSIONAL DENTAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-24",
"last_updated": "2012-05-25",
"status": "A",
"authorized_official_last_name": "SAGARIAN",
"authorized_official_first_name": "MIKE",
"authorized_official_middle_name": "MAIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-758-5338",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G91682",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "rosetown family dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wasco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.