Anton Sauer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401417532 Issued in VA

Practice address

203 Park Ave
Pine River, MN 56474

Phone

(218) 587-4437

Fax

(218) 587-4479

NPI assigned

May 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Mission Dental Virginia, Inc

  • General Practice Dentistry
  • Abingdon, VA
  • NPI 1639785934
  NPD (past)

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1831763770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19435 GRAVE LAKE RD",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564015096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PARK AVE",
            "city": "PINE RIVER",
            "state": "MN",
            "postal_code": "56474",
            "telephone_number": "218-587-4437",
            "fax_number": "218-587-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUER",
        "first_name": "ANTON",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-15",
        "last_updated": "2024-08-05",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine River Eye Center, Inc.
• Annette M Pohl, LPT
• Jaime Lyn Preble, DDS
• Ronald Lee Prouty, DC
• Amalia Richards, CLC
• Tucker A Sheley, APRN,CNP
• Breanna Shellum, M.A., LMFT
• St. Joseph'S Medical Center
• Lisa Leigh Struss
• The Evangelical Lutheran Good Samaritan Society

• Dentist in Pine River, MN
• Providers in Pine River, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.