Active NPI
John Samuel Sage, DDS
- Dentist
- Seattle, WA
National Provider Identifier
1932399185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DR20000183
- Practice address
- 1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-0001 - Phone
- (206) 543-0065
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DR20000183 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-0001
Mailing address
1959 NE Pacific St
C212, Box 356340
Seattle, WA 98195-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR20000183 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Sam Sage DDS PS | Current | Accepting new patients |
Locations
9730 3rd Ave NE
Ste 209
Seattle, WA 98115
Phone (206) 362-6677
11304 8th Ave NE
#B
Seattle, WA 98125
Phone (206) 362-6677
Organizations & group practices 1
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": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1932399185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "C212, BOX 356340",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "C212, BOX 356340",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981950001",
"telephone_number": "206-543-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGE",
"first_name": "JOHN",
"middle_name": "SAMUEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DR20000183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.