Individual provider Active NPI

Sarah Kathryn Belderes, DDS

  • Dentist
  • Laguna Niguel, CA
National Provider Identifier
1073767828
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48580 Issued in CA
Practice address
25500 Rancho Niguel Rd
Ste 210
Laguna Niguel, CA 92677-7302
Phone
(949) 215-5500
NPI assigned
Nov 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 48580 CA Primary

Addresses

Primary practice location

25500 Rancho Niguel Rd
Ste 210
Laguna Niguel, CA 92677-7302

Mailing address

25500 Rancho Niguel Rd
Ste 210
Laguna Niguel, CA 92677-7302
Phone (949) 215-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200710000102 CA Practitioner - Dentist 4880025444 Practice locations: Solana Beach, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48580CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1073767828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD",
            "address_2": "STE 210",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777302",
            "telephone_number": "949-215-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD",
            "address_2": "STE 210",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777302",
            "telephone_number": "949-215-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELDERES",
        "first_name": "SARAH",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.