Active NPI
Marina Sauco, DDS
- Prosthodontics
- Stroudsburg, PA
National Provider Identifier
1811169774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS030925L
- Practice address
- 1619 N. 9TH Street
Suite 10
Stroudsburg, PA 18353 - Phone
- (570) 426-1868
- Fax
- (570) 426-1867
- NPI assigned
- Mar 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS030925L | PA | Primary |
Addresses
Primary practice location
1619 N. 9TH Street
Suite 10
Stroudsburg, PA 18353
Mailing address
1619 N. 9TH Street
Suite 10
Stroudsburg, PA 18353
Phone (570) 426-1868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS030925L | PA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1811169774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 N. 9TH STREET",
"address_2": "SUITE 10",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "18353",
"telephone_number": "570-426-1868",
"fax_number": "570-426-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 N. 9TH STREET",
"address_2": "SUITE 10",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "18353",
"telephone_number": "570-426-1868",
"fax_number": "570-426-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUCO",
"first_name": "MARINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "PA",
"license": "DS030925L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.