William Ashley Sapp, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

002259 Issued in NM

Practice address

10000 Coors Byp NW
G-218
Albuquerque, NM 87114-4040

Phone

(505) 242-4867

Fax

(505) 890-2883

NPI assigned

Jan 18, 2006

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cottonwood Mall Dental Practice, LLC

  • Dental Clinic/Center
  • Albuquerque, NM
  • NPI 1043487119
  NPD (past) Authorized official

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1952381774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 COORS BYP NW",
            "address_2": "G 218",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144040",
            "telephone_number": "505-242-4867",
            "fax_number": "505-890-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 COORS BYP NW",
            "address_2": "G-218",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871144040",
            "telephone_number": "505-242-4867",
            "fax_number": "505-890-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPP",
        "first_name": "WILLIAM",
        "middle_name": "ASHLEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "002259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DD2259",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pedro M Sapien, N.P.
• Robert E Sapien, MD
• McKenzie Sapletal
• Jennifer Eloise Sapp, D.C.
• Marsha Delaine Sapp, CNP
• Laura Marie Sarabia
• Melissa Sarabia, RD, LD, CDE
• Savannah Sarabia
• Lizbeth Sarabique Violeta
• Sarah Constance

• Dentist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.