Individual provider Active NPI

Sage E Pollack, D.M.D.

  • Dentist
  • Denver, CO
National Provider Identifier
1992925531
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
00202525 Issued in CO
Practice address
2750 W 29TH Ave
Denver, CO 80211-3053
Phone
(303) 477-7776
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00202525 CO Primary

Addresses

Primary practice location

2750 W 29TH Ave
Denver, CO 80211-3053

Mailing address

2750 W 29TH Ave
Denver, CO 80211-3714
Phone (303) 477-7776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160201002337 CO Order and Referring Only - DentistPractitioner - Dentist 2668776329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00202525COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Dental Partners LLC Past Accepting new patients
Sage Dentistry PLLC Sloans Lake Dental Past Accepting new patients
Sage Dentistry II PLLC Dentist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 3

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1992925531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113714",
            "telephone_number": "303-477-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 W 29TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113053",
            "telephone_number": "303-477-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "SAGE",
        "middle_name": "E",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00202525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.