Individual provider Active NPI

Sarah June Easton, DMD

  • General Practice Dentistry
  • Painesville, OH
National Provider Identifier
1043833148
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.026149 Issued in OH
Practice address
157 Carroll Ave
Painesville, OH 44077-2621
Phone
(440) 226-1535
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.026149 OH Primary

Addresses

Primary practice location

157 Carroll Ave
Painesville, OH 44077-2621

Mailing address

157 Carroll Ave
Painesville, OH 44077-2621
Phone (440) 226-1535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210121001874 OH Order and Referring Only - DentistPractitioner - Dentist 4486068061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.026149OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1043833148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CARROLL AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772621",
            "telephone_number": "440-226-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CARROLL AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440772621",
            "telephone_number": "440-226-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON",
        "first_name": "SARAH",
        "middle_name": "JUNE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

Verify at the official NPI Registry.