Active NPI
Sarah Giacomini
- Dentist
- Saint Charles, MO
National Provider Identifier
1033728407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2020024011
- Practice address
- 1520 S 5TH St Ste 103
Saint Charles, MO 63303-4127 - Phone
- (636) 493-6494
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- 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 | 2020024011 | MO | Primary |
Addresses
Primary practice location
1520 S 5TH St Ste 103
Saint Charles, MO 63303-4127
Mailing address
1520 S 5TH St Ste 103
Saint Charles, MO 63303-4127
Phone (636) 493-6494
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 |
|---|---|---|---|
| 2020024011 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Dental Professionals, Richard Straus, DMD, PC | Past | Accepting new patients | |
| Missouri Dental Professionals, Richard Straus, DMD, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Columbia, MO
- NPI 1558669556
-
- General Practice Dentistry
- St. Charles, MO
- NPI 1568718690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1033728407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 S 5TH ST STE 103",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633034127",
"telephone_number": "636-493-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 S 5TH ST STE 103",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633034127",
"telephone_number": "636-493-6494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIACOMINI",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2020024011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.