Individual provider Active NPI

Sara Ysaac-Garcia, DMD

  • Pediatric Dentistry
  • New Haven, CT
National Provider Identifier
1871782458
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
010994 Issued in CT
Practice address
990 State St
New Haven, CT 06511-3944
Phone
(203) 787-3669
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 010994 CT Primary

Addresses

Primary practice location

990 State St
New Haven, CT 06511-3944

Mailing address

5211 Madison Ave
Trumbull, CT 06611-1040
Phone (203) 767-3798

Other names 1

  • Sara Ysaac Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150724012346 CT Order and Referring Only - DentistPractitioner - Dentist 2860705423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010994CTMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Haven Kids Dentistry Current Accepting new patients
Childrens Dentistry of Trumbull, PC Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sysaacgarcia137543@direct.ynhh.org

Organizations & group practices 2

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": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1871782458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111040",
            "telephone_number": "203-767-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STATE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113944",
            "telephone_number": "203-787-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YSAAC-GARCIA",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-18",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "010994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "YSAAC",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.