Individual provider Active NPI

Ogieorumuah Sabageh, DDS

  • General Practice Dentistry
  • Toledo, OH
National Provider Identifier
1790239499
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901022379 Issued in MI
Practice address
2138 Madison Ave
Toledo, OH 43604-5131
Phone
(419) 241-6215
NPI assigned
Aug 10, 2016
Last updated
Aug 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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 2901022379 MI Primary

Addresses

Primary practice location

2138 Madison Ave
Toledo, OH 43604-5131

Mailing address

535 Griswold St
Ste 111-235
Detroit, MI 48226
Phone (226) 346-6433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180426000549 MI Order and Referring Only - DentistPractitioner - Dentist 8527322668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901022379MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1790239499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GRISWOLD ST",
            "address_2": "STE 111-235",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48226",
            "telephone_number": "226-346-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045131",
            "telephone_number": "419-241-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABAGEH",
        "first_name": "OGIEORUMUAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.