Organization Active NPI

Sasa Clinics LLC

  • Dentist
  • Parker, CO
National Provider Identifier
1871305128
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SASA CLINICS LLC
Practice address
10371 Parkglenn Way Ste 270
Parker, CO 80138-3822
Phone
(940) 230-6678
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Mr. John Truitt
Title
Ceo
Phone
(940) 230-6678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10371 Parkglenn Way Ste 270
Parker, CO 80138-3822

Mailing address

10371 Parkglenn Way Ste 270
Parker, CO 80138-3822
Phone (940) 230-6678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250424002508 CO DME Supplier - Oral Surgery - Dentist 7012433840 Practice locations: Parker, CO
O20260123000340 CO Part B Supplier - Clinic/Group Practice 7012433840 Receives reassigned benefits from 1 practitioner
Practice locations: Parker, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1871305128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10371 PARKGLENN WAY STE 270",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383822",
            "telephone_number": "940-230-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10371 PARKGLENN WAY STE 270",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801383822",
            "telephone_number": "940-230-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASA CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "TRUITT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-230-6678",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.