Individual provider Active NPI

Jyoti Sagar, DMD

  • General Practice Dentistry
  • Middleburg Heights, OH
National Provider Identifier
1801970835
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019191 Issued in MI
Practice address
6849 Pearl Rd # C
Middleburg Heights, OH 44130-3616
Phone
(440) 843-1500
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019191 MI Primary
General Practice Dentistry 1223G0001X 30022458 OH

Addresses

Primary practice location

6849 Pearl Rd # C
Middleburg Heights, OH 44130-3616

Mailing address

6849 Pearl Rd # C
Middleburg Heights, OH 44130-3616
Phone (440) 843-1500

Other identifiers 1

IdentifierTypeStateIssuer
2714157MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150724012387 CA Order and Referring Only - DentistPractitioner - Dentist 7113230772
I20160309003018 OH Order and Referring Only - DentistPractitioner - Dentist 7113230772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019191MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Care Dental General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1801970835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 PEARL RD # C",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303616",
            "telephone_number": "440-843-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PEARL RD # C",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441303616",
            "telephone_number": "440-843-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGAR",
        "first_name": "JYOTI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019191",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022458",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2714157",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.