Individual provider Active NPI

Robert James Saukas, D.D.S.

  • General Practice Dentistry
  • Stanton, MI
National Provider Identifier
1922157494
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12307 Issued in MI
Practice address
697 S State St
Suite #a
Stanton, MI 48888-8981
Phone
(989) 831-5333
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12307 MI Primary

Addresses

Primary practice location

697 S State St
Suite #a
Stanton, MI 48888-8981

Mailing address

697 S State St
Suite #a
Stanton, MI 48888-8981
Phone (989) 831-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160921002895 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7719274505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12307MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922157494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 S STATE ST",
            "address_2": "SUITE #A",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488888981",
            "telephone_number": "989-831-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 S STATE ST",
            "address_2": "SUITE #A",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488888981",
            "telephone_number": "989-831-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUKAS",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "12307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanton, MI

Sources for this page

Verify at the official NPI Registry.