Active NPI
Charles M Sauter, DDS
- Dentist
- Mesquite, TX
National Provider Identifier
1932327368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15824
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009782601 | Medicaid | TX | |
| 110952201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.