Jenna Elise Sako, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

34496 Issued in TX

Practice address

607A Main Street
Bandera, TX 78003

Phone

(830) 796-4888

NPI assigned

Oct 8, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ted Sako DDS

  • General Practice Dentistry
  • Bandera, TX
  • NPI 1558821553
  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1760957641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16207 LOS SEDONA",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233779",
            "telephone_number": "409-363-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607A MAIN STREET",
            "city": "BANDERA",
            "state": "TX",
            "postal_code": "78003",
            "telephone_number": "830-796-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKO",
        "first_name": "JENNA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34496",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Citlalic Ramirez, LPC-A
• Anna Reid, MA, LPC
• Joshua Nathaniel Reyes
• Jody S. Robeson, PT
• Marcos Rubio
• Fred F. Salley, M.D.
• Erick David Samardak
• Daniel Lee Schmidt, D.O.
• Robert Schonhoff III, PA
• Rachel Schwartz, BCBA, TX-LBA

• Dentist in Bandera, TX
• Providers in Bandera, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.