Organization Active NPI

Charles M Sauter, DDS

  • Dentist
  • Mesquite, TX
National Provider Identifier
1932327368
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15824 Issued in TX
Legal business name
CHARLES M SAUTER, DDS
Practice address
18640 LBJ Fwy
Suite 202
Mesquite, TX 75150-6034
Phone
(972) 288-4401
NPI assigned
Apr 23, 2007
Last updated
Sep 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Charles M Sauter, DDS
Title
Owner
Phone
(972) 288-4877

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16437 TX
Dentist 122300000X 15824 TX Primary
Prosthodontics 1223P0700X 10997 TX

Addresses

Primary practice location

18640 LBJ Fwy
Suite 202
Mesquite, TX 75150-6034

Mailing address

18640 LBJ Fwy
Suite 202
Mesquite, TX 75150-6034
Phone (972) 288-4401

Other identifiers 2

IdentifierTypeStateIssuer
009782601MedicaidTX
110952201MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1932327368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18640 LBJ FWY",
            "address_2": "SUITE 202",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506034",
            "telephone_number": "972-288-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18640 LBJ FWY",
            "address_2": "SUITE 202",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506034",
            "telephone_number": "972-288-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M SAUTER, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "SAUTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-288-4877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "16437",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "15824",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "10997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009782601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110952201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.