Keith Michael Saks, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

037140 Issued in NY

Practice address

115 Chambers St
New York, NY 10007-1001

Phone

(212) 766-4440

NPI assigned

Apr 22, 2007

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 NY

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

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760600282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E 10TH ST",
            "address_2": "6F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035102",
            "telephone_number": "212-673-9872",
            "fax_number": "212-673-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHAMBERS ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100071001",
            "telephone_number": "212-766-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKS",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "037140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Sakil
• Shulamith Rachel Sakin-Wolf, PSYCHOANALYST
• Thomas Paul Sakmar, M.D.
• Jill Sakowitz, LMSW
• Shreya Sakpal, OT
• Paul Steven Saks, PH.D.
• Ruth E Saks, LCSW
• Ravi Saksena, M.D.
• Megan Marie Sakwa, MSW, LSW, LMSW
• Evis Sala, M.D., PH.D.

• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.