DR. ALAN KEN SATO D.D.S.
NPI 1154456101
Dentist - Oral and Maxillofacial Surgery in Edmonds, WA

Active since February 22, 2007Opted out of Medicare · through Oct 24, 2027
21701 76TH AVE W, SUITE 202, EDMONDS, WA 98026(425) 744-1724 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alan Ken Sato D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALAN KEN SATO D.D.S. (NPI 1154456101) is an individual oral and maxillofacial surgery provider in Edmonds, Washington, licensed in Washington (DE00006498) and active in the NPI registry since February 2007. He has opted out of Medicare through October 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1154456101
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ALAN KEN SATOCredential: D.D.S.
Location Address21701 76TH AVE W, SUITE 202Edmonds, WA 98026-7536
Mailing Address3315 156th Pl SeMill Creek, WA 98012-8332 · (425) 316-0319
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1154456101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WA · DE00006498
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
21701 76TH AVE W, Edmonds, WA 98026

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Alan Ken Sato D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 24, 2017 through October 24, 2027.

Opt-Out Effective DateOctober 24, 2017
Opt-Out In Effect ThroughOctober 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
21701 76TH AVE W, STE 104 B
EDMONDS, WA 98026
Dentist (Oral and Maxillofacial Surgery)
21701 76TH AVE W, SUITE 202
EDMONDS, WA 98026
Dentist (Oral and Maxillofacial Surgery)
21701 76TH AVE W, SUITE #202
EDMONDS, WA 98026
Dermatology
21701 76TH AVE W, SUITE 100
EDMONDS, WA 98026
Nurse Practitioner (Family)
21701 76TH AVE W, SUITE 203
EDMONDS, WA 98026
Clinic/Center (Federally Qualified Health Center (FQHC))
21701 76TH AVE W, SUITE 300
EDMONDS, WA 98026
Community/Behavioral Health
21701 76TH AVE W, SUITE 302
EDMONDS, WA 98026
Dermatology
21701 76TH AVE W, SUITE 100
EDMONDS, WA 98026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Sato's NPI number?

The NPI number for Alan Sato is 1154456101. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Alan Sato located?

Alan Sato practices at 21701 76th Ave W Suite 202, Edmonds, WA 98026. The listed phone number is (425) 744-1724.

What is Alan Sato's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Alan Sato enrolled in Medicare?

No. Alan Sato has opted out of Medicare through October 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Alan Sato was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.