Sara Ann Beaupre, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

6637-016 Issued in WI

Practice address

5135 Grove Rd
Reedsville, WI 54230-9182

Phone

(920) 242-2209

NPI assigned

Jun 25, 2009

Last updated

Jun 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Ann Rozmarynowski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• SDC Dental Hygiene Concepts LLC

  • Exclusive Provider Organization
  • Reedsville, WI
  • NPI 1962631952
  NPD (past) Authorized official

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1083842355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 GROVE RD",
            "city": "REEDSVILLE",
            "state": "WI",
            "postal_code": "542309182",
            "telephone_number": "920-242-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 GROVE RD",
            "city": "REEDSVILLE",
            "state": "WI",
            "postal_code": "542309182",
            "telephone_number": "920-242-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUPRE",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "6637-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "ROZMARYNOWSKI",
            "middle_name": "ANN",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aurora Medical Group, Inc.
• Badgerland Breastfeeding, LLC
• Laura L. Beutler, REGISTERED NURSE
• Sharon A Brey, RN
• Jennifer A Hoenig
• Colby Kasten, DC
• Kirkpatrick & Associates, LLC

• Dental Hygienist in Reedsville, WI
• Providers in Reedsville, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.