Robert Edwin Sawyer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28332 Issued in TX

Practice address

1117 Ranch Rd 1431
Pob 1606
Kingsland, TX 78639-4055

Phone

(325) 388-6021

Fax

(325) 388-9991

NPI assigned

Aug 29, 2012

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

Other identifiers 1

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.

• Central Texas Family Dentistry PC

  • General Practice Dentistry
  • Kingsland, TX
  • NPI 1235553900
  NPD (past) Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1780933374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 RANCH RD 1431",
            "address_2": "BOX 1606",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "78639",
            "telephone_number": "325-388-6021",
            "fax_number": "325-388-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 RANCH RD 1431",
            "address_2": "POB 1606",
            "city": "KINGSLAND",
            "state": "TX",
            "postal_code": "786394055",
            "telephone_number": "325-388-6021",
            "fax_number": "325-388-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "ROBERT",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CENTRAL TEXAS FAMILY DENTISTRY PC",
            "identifier": "1235553900",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jumoke Owens Jr., MT
• PHPM Mission Care Centers - New Covenant
• Pinnacle Health Facilities Xxviii LP
• Steven Earl Raughton
• Kimberly A Russell, MD
• Scal Kingsland LLC
• Scott & White Hospital - Marble Falls
• Shawn Ray Scott, D.C.
• Libni Shetler
• Ashlee Lynn Stansel, RDN

• General Practice Dentistry in Kingsland, TX
• Providers in Kingsland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.