Gregory Michael Saam, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010816 Issued in CT

Practice address

650 Chase Pkwy
Waterbury, CT 06708-3046

Phone

(800) 516-3658

NPI assigned

May 2, 2011

Last updated

May 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

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

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rejuvenate Dental Arts PC

  • General Practice Dentistry
  • Bethel, CT
  • NPI 1255086229
  NPD Authorized official

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1730470279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 WILDWOOD CIR",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067701537",
            "telephone_number": "203-233-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083046",
            "telephone_number": "800-516-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAM",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Howard Rutberg, D.M.D.
• Emily Lynn Ryan, DNP CNM
• Amanda Rae Rychling-Bruce, MSW, LCSW
• Barbara Rymer, APRN
• Aziz Saade, MD
• Keyana Sabbakhan, LPCA
• Kert D Sabbath, MD
• Mirta Sabino
• Monique K Saboia
• Dorian Z Sacaza, MS

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.