Russell A Sassack, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13817 Issued in MI

Practice address

43771 Van Dyke Ave
Sterling Heights, MI 48314-2445

Phone

(586) 323-2273

Fax

(586) 323-9460

NPI assigned

May 18, 2006

Sex

Male

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Sterling Family Dentistry, P.C.

  • Dental Clinic/Center
  • Sterling Heights, MI
  • NPI 1396174314
  NPD (past) Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1720031115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43771 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142445",
            "telephone_number": "586-323-2273",
            "fax_number": "586-323-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43771 VAN DYKE AVE",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483142445",
            "telephone_number": "586-323-2273",
            "fax_number": "586-323-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASSACK",
        "first_name": "RUSSELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sapphire Primary Care PC
• Gina Saputo
• Sara'S Place, Inc
• Sarah Rooney, DO, PLLC
• Soniya Sarau
• Sav on Home Healthcare Supply Inc
• Isabella Savu
• Thaeer Sawa, MD
• Sawsan Jamil MD PLLC
• Anthony John Sayegh, D.O.

• General Practice Dentistry in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.