Mitchell a Sagan DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2722 Issued in WV

Legal business name

MITCHELL A SAGAN DDS INC

Practice address

420 Elaine Street
Weirton, WV 26062

Phone

(304) 723-2021

Fax

(304) 723-2030

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Andrew Sagan, DDSNPI 1417051400

Title

DDS Owner

Phone

(304) 723-2021

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Andrew Sagan, DDS

  • General Practice Dentistry
  • Weirton, WV
  • NPI 1417051400
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659498889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ELAINE STREET",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-723-2021",
            "fax_number": "304-723-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ELAINE STREET",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "26062",
            "telephone_number": "304-723-2021",
            "fax_number": "304-723-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL A SAGAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAGAN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DDS OWNER",
        "authorized_official_telephone_number": "304-723-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132506000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine L Midcap, DO
• Erin Lynn Miller, DDS
• Mary Miller
• Lisa Minger
• Glen Richard Miske, DO
• Shantell Nicole Mitchell
• Jennifer Kay Monroe, RN
• Dale Moore
• Daniel Hood Moore, MD
• Hannah Moore

• General Practice Dentistry in Weirton, WV
• Providers in Weirton, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.