Organization Active NPI

Sarauer Family Dental LLC

  • General Practice Dentistry
  • Fond Du Lac, WI
National Provider Identifier
1053430991
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4618-015 Issued in WI
Legal business name
SARAUER FAMILY DENTAL LLC
Practice address
1096 S Main Street
Ste 100
Fond Du Lac, WI 54935
Phone
(920) 922-7012
Fax
(920) 921-7101
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Todd Allen Sarauer, DDSNPI 1952494569
Title
Owner/Dentist
Phone
(920) 922-7012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4618-015 WI Primary

Addresses

Primary practice location

1096 S Main Street
Ste 100
Fond Du Lac, WI 54935

Mailing address

1096 S Main Street
Ste 100
Fond Du Lac, WI 54935
Phone (920) 922-7012

National Provider Directory

National Provider Directory

Locations

1096 S Main St
Ste 100
Fond du Lac, WI 54935
Phone (920) 904-0462

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1053430991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 S MAIN STREET",
            "address_2": "STE 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-922-7012",
            "fax_number": "920-921-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 S MAIN STREET",
            "address_2": "STE 100",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "54935",
            "telephone_number": "920-922-7012",
            "fax_number": "920-921-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAUER FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "SARAUER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "920-922-7012",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4618-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.