Jon Gregory Sabol, DDS,MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6816 Issued in AZ

Practice address

5050 N. 40TH Street, #180
Phoenix, AZ 85018

Phone

(602) 957-0332

Fax

(602) 957-3282

NPI assigned

May 3, 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 6, 2016 through Dec 6, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Oral & Facial Surgeons of Arizona

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1568667061
  NPD (past) Authorized official
• Arcadia Omfs LLC

  dba Oral & Facial Surgeons of Arizona

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1144002502
  NPD (past)
• Jack a Buhrow DDS Ms PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1154596187
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1780642132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 N. 40TH STREET, #180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "602-957-0332",
            "fax_number": "602-957-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N. 40TH STREET, #180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "602-957-0332",
            "fax_number": "602-957-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABOL",
        "first_name": "JON",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS,MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "6816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kazuhiro Shamim Sabet, MD
• Jessica Sabic, DPM
• Katie Sabine, FP
• Isra Samia Sabir, LPN
• Scott Sabish
• Hisham Sabri, DMD
• Alexis Sacco, RBT
• Kathryn L Sacco, LBA
• Marissa Sacco
• Ronald Francis Sacco, LMT

• Oral and Maxillofacial Surgery (Dentist) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.