Naimata Saucer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15710 Issued in MD

Practice address

1253 W Pratt St
Baltimore, MD 21223-2684

Phone

(410) 727-4746

Fax

(410) 727-6767

NPI assigned

Jun 16, 2015

Last updated

Jun 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 14, 2023 through Jul 14, 2027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gloria M Lee, DDS, PC

  dba Advances in Dental Care

  • General Practice Dentistry
  • North Potomac, MD
  • NPI 1245540897
  NPD (past)
• Michael G Pharris OD PC

  dba Adventure Dental and Vision

  • Optometrist
  • Baltimore, MD
  • NPI 1205006145
  NPD (past)
• Ronald B Montano DDS PC

  dba Adventure Dental and Vision

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1629251228
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1790166650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232684",
            "telephone_number": "410-727-4746",
            "fax_number": "410-727-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCER",
        "first_name": "NAIMATA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067293475",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790166650",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Sattler, OTR/L
• Siddharth Krishna Satuluru, MD
• Virendra Narayan Satyarthi
• Ellen Cruice Satyshur, LCSW-C
• Nicholas Sauber, M.D.
• Anna Marie Saucier, MD
• Angelica Rose Sauer
• Jennifer Wynn Sauers, LCPC
• Saul D Gurney DDS PA
• McKinley Ann Sauls

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.