Individual provider Active NPI

Hiroshi Saka, D.M.D.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1760796700
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25830 Issued in TX
Practice address
3010 LBJ Fwy Ste 200
Dallas, TX 75234-2723
Phone
(972) 444-8888
NPI assigned
Aug 2, 2010
Reactivated
Oct 29, 2019
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25830 TX Primary

Addresses

Primary practice location

3010 LBJ Fwy Ste 200
Dallas, TX 75234-2723

Mailing address

12660 Hillcrest Rd Apt 8206
Dallas, TX 75230-2029
Phone (954) 465-0816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25830TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
JDC Healthcare, PLLC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1760796700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 HILLCREST RD APT 8206",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302029",
            "telephone_number": "954-465-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 LBJ FWY STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752342723",
            "telephone_number": "972-444-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKA",
        "first_name": "HIROSHI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2019-10-29",
        "deactivation_date": "2019-10-28",
        "reactivation_date": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.